Local anaesthetic surgical treatment of severe objective pulsatile tinnitus: a useful technique

Ann R Coll Surg Engl. 2012 May;94(4):e139-40. doi: 10.1308/003588412X13171221498820.

Abstract

Objective pulsatile tinnitus is a rare condition with an often dramatic presentation. We present the case of a 70-year-old woman who presented with over two years' history of unilateral distressing objective pulsatile tinnitus. Carotid arteriography revealed a highly tortuous internal carotid artery. Computed tomography of the ipsilateral temporal bones showed a large jugular bulb. Internal jugular vein ligation under local anaesthetic yielded immediate resolution of her symptoms.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anesthetics, Local*
  • Carotid Artery Diseases / surgery*
  • Carotid Artery, Internal / surgery*
  • Constriction
  • Female
  • Humans
  • Jugular Veins / surgery*
  • Tinnitus / surgery*
  • Torsion Abnormality / surgery*

Substances

  • Anesthetics, Local