Balloon occlusion testing for non-sinus-stenosis venous pulsatile tinnitus: A technical case series.

ABSTRACT: IntroductionPulsatile tinnitus (PT) affects ∼ 10% of the population and can be debilitating. Venous etiologies of PT are increasingly recognized. Identifying the symptomatic vessel, particularly with multiple venous anomalies, remains challenging.MethodsIn this case series, we utilized venous balloon occlusion testing (vBOT) as a real-time diagnostic tool to identify symptomatic vessels in non-sinus stenosis venous PT. vBOT involved using a transform balloon (7 mm × 7 mm) under fluoroscopic guidance to occlude the venous anomaly, with immediate assessment of symptom resolution.ResultsWe report four cases involving high-riding jugular bulbs, jugular bulb diverticula, and enlarged emissary veins. vBOT successfully identified the culprit vessels, guiding targeted endovascular coil embolizatio

SUBMITTER: Brake AD 

PROVIDER: S-EPMC11869226 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature