Pulsatile Tinnitus and Venous Sinus Stenting
When to consider intervention
Clinical presentation
Pulsatile tinnitus — a rhythmic whooshing or pulsing sound heard in one or both ears — can be debilitating and significantly affect quality of life. In many cases it is caused by narrowing of the venous sinuses in the brain, creating turbulent blood flow that the patient perceives as sound.
Diagnosis involves specialist imaging including MR venography and, in selected cases, catheter venography with pressure measurements to confirm a significant stenosis.
Treatment with venous sinus stenting
Venous sinus stenting is a minimally invasive option for selected patients with confirmed venous sinus stenosis. A small stent is placed across the narrowed segment to restore normal blood flow and reduce the pressure gradient.
Outcomes are generally favourable, with many patients experiencing significant or complete resolution of symptoms. Careful patient selection and long-term follow-up with antiplatelet medication are essential for optimal results.
