Jugular bulb dehiscence

Case contributed by Husam Hussein Yaseen
Diagnosis certain

Presentation

Right-sided tinnitus.

Patient Data

Age: 25 years
Gender: Female
ct

Axial petrous bone CT scan with a focused series showed loss of the bony plate between the right jugular bulb and the middle ear cavity.

Annotated image

Right jugular bulb dehiscence (orange arrow).

Case Discussion

Dehiscent jugular bulbs are present when the sigmoid plate between a high riding jugular bulb and the middle ear is absent, allowing the wall of the jugular bulb to bulge into the middle ear cavity.

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