High riding jugular bulb

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Tinnitus

Patient Data

Age: 8 years
Gender: Female
ct

CT scan demonstrating a high riding left jugular bulb extending to the same level as the internal auditory canal (IAC). The left internal jugular vein is protruding into the middle ear cavity with a thinned sigmoid plate.

Case Discussion

One of the definitions for a high riding jugular bulb is when it extends to the level of the floor of the IAC.

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