Sigmoid sinus wall dehiscence

Case contributed by Dr Varun Babu

Presentation

Left chronic otitis media for HRCT temporal bone evaluation to rule out underlying cholesteatoma.

Patient Data

Age: 35 years
Gender: Male
CT

Temporal bone

Lateral projection of the sigmoid sinus posterior the mastoid air cells resulting in rarefaction of the right occipital calvarium, a finding incidentally detected in this plain HRCT of temporal bones. 

Case Discussion

Sigmoid sinus wall dehiscence and diverticuli are a common etiology for pulsatile tinnitus especially when the wall dehiscence is seen anteriorly in relation to the mastoid temporal bone. The type of lateral rarefaction seen in this patient makes this patient susceptible for direct trauma as well as infection from local sources like the ear. The referring clinician was alerted of this potentially fatal anatomic variant.  

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Case information

rID: 50296
Case created: 30th Dec 2016
Last edited: 14th Jan 2017
System: Head & Neck
Inclusion in quiz mode: Included

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