{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:03:36Z","timestamp":1791475416426,"version":"4.3.4"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008967","name":"Philipps-Universit\u00e4t Marburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008967","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neuroradiology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pulsatile tinnitus (PT) is a distressing auditory symptom, frequently caused by vascular anomalies near the temporal bone. Among the rarer venous causes are jugular bulb diverticula, which can be difficult to diagnose and manage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of a patient in their 40s with persistent right-sided pulsatile tinnitus significantly impairing daily functioning. Imaging revealed two diverticula in the right jugular bulb and an enlarged nuchal emissary vein. Conservative treatment was ineffective. Digital subtraction angiography confirmed the venous origin of the tinnitus through provocation testing and temporary balloon occlusion. A novel endovascular approach using volumetric coils and venous double-jailing technique was pursued.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>\n                      Stent-assisted coil embolization was performed using a double-jailing technique. Two PX-SLIM\u2122 microcatheters were jailed through a single ACCERO\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Rex stent, enabling precise deployment of Penumbra PC400 volumetric coils into both diverticula and the enlarged nuchal emissary vein. The procedure was completed without complications under general anesthesia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>Symptoms resolved immediately and remained absent at follow-up. Dual antiplatelet therapy was tapered to aspirin monotherapy after 12 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first reported case employing volumetric coils in combination with a venous double-jailing technique for treating jugular bulb diverticula. This approach enabled precise and efficient embolization of multiple venous outpouchings through a single stent construct. The procedure was safe, minimally invasive, and led to complete symptom relief. These findings highlight a promising treatment strategy for selected cases of venous pulsatile tinnitus with complex anatomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00234-025-03707-w","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T10:18:13Z","timestamp":1752142693000},"page":"2199-2203","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Successful treatment of pulsatile tinnitus caused by jugular bulb diverticula using stent-assisted volumetric coil embolization in a double-jailing technique"],"prefix":"10.1007","volume":"67","author":[{"given":"Nermin","family":"Abozenah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Kemmling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Klein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Stuck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Almohammad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"3707_CR1","unstructured":"Amans MR, Stout C, Dowd CF, et al. Resolution of Pulsatile Tinnitus after Coil Embolization of Sigmoid Sinus Diverticulum. Austin J Cerebrovasc Dis & Stroke. 2014;1(2):1010"},{"key":"3707_CR2","doi-asserted-by":"publisher","first-page":"81","DOI":"10.25259\/SNI_1_2021","volume":"12","author":"B Fiani","year":"2021","unstructured":"Fiani B, Kondilis A, Doan T et al (2021) Venous sinus stenting for intractable pulsatile tinnitus: a review of indications and outcomes. Surg Neurol Int 12:81. https:\/\/doi.org\/10.25259\/SNI_1_2021","journal-title":"Surg Neurol Int"},{"issue":"20191023","key":"3707_CR3","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1177\/1591019919881582","volume":"26","author":"F Drescher","year":"2020","unstructured":"Drescher F, Maus V, Weber W et al (2020) Pulsatile tinnitus due to an aneurysmatic diverticulum of the jugular bulb treated with the woven endobridge device. 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Informed consent was waived due to the completely anonymized nature of the data collection and analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}