Clinical characteristics of pulsatile tinnitus induced by sigmoid sinus abnormalities with different intracranial pressure
10.16066/j.1672-7002.2023.12.006
- VernacularTitle:不同颅内压状态下乙状窦源性耳鸣患者的临床特征分析
- Author:
Lanyue CHEN
1
;
Xiaobo MA
;
Mengdi ZHOU
;
Xiaoxia QU
;
Zhaohui LIU
Author Information
1. 首都医科大学附属北京同仁医院放射科,北京 100730
- Keywords:
Tinnitus;
Intracranial Pressure;
Body Mass Index;
pulsatile tinnitus;
sigmoid sinus;
tinnitus handicap inventory
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2023;30(12):772-775
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the clinical characteristics of pulsatile tinnitus induced by sigmoid sinus abnormalities in high and normal intracranial pressure states.METHODS There were 66 patients of pulsatile tinnitus induced by sigmoid sinus abnormalities,including 55 cases of sigmoid sinus wall dehiscence and 11 cases of sigmoid sinus diverticulum.The index of transverse sinus stenosis(ITSS)was used to assess intracranial pressure in magnetic resonance venography(MRV).We obtained 41 cases in intracranial hypertension group and 25 cases in normal intracranial pressure group.The age,gender,handedness,tinnitus lateralization,mean arterial pressure(MAP),body mass index(BMI),tinnitus duration,tinnitus frequency,tinnitus loudness,tinnitus handicap inventory(THI)and blood biochemical examination were recorded to analyze.RESULTS The BMI was 24.98 kg/m2(22.87 kg/m2,28.46 kg/m2)and 24.01 kg/m2(20.34 kg/m2,25.03 kg/m2)and THI score was 45.59±23.47 and 33.84±20.13 in intracranial hypertension group and normal intracranial pressure group,respectively.Compared with normal intracranial pressure group,the BMI and THI of intracranial hypertension group were significantly increased(P was 0.047 and 0.042 respectively).No significant difference were found in other indicators.CONCLUSION There are some different characteristics in pulsatile tinnitus induced by sigmoid sinus abnormalities in high and normal intracranial pressure states,which manifest obviously increased BMI and THI score in pulsatile tinnitus patients with intracranial hypertension.
