High jugular bulb with a diverticulum and vestibular aqueduct dehiscence: an anatomical variant to be aware in patients with hearing loss.
Hearing loss
High jugular bulb
Jugular diverticulum
Vestibular aqueduct dehiscence
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
received:
07
04
2022
accepted:
27
06
2022
pubmed:
17
7
2022
medline:
27
7
2022
entrez:
16
7
2022
Statut:
ppublish
Résumé
To describe an anatomical variant that should be consider in patients with hearing loss. An 8-year-old girl underwent to temporal bone computed tomography for the evaluation of bilateral conductive hearing loss and further assessment of possible enlarged vestibular aqueduct or high jugular bulb on brain magnetic resonance imaging (MRI). CT of temporal bone showed a cystic cavity with bony sclerotic margins extending from the right jugular foramen to the vestibular aqueduct. Bony dehiscence of the jugular foramen with the right carotid canal was also noted. On brain MRI, there was no evidence of enlargement of the endolymphatic duct and sac on T2 thin-section gradient echo sequence. Time of flight MR angiography did not show arterial flow in the cavity. Contrast enhanced MR venography confirmed the presence of a high right jugular bulb with a diverticulum extending into the vestibular aqueduct due to jugular bulb-vestibular aqueduct dehiscence. Knowledge of high jugular bulb-vestibular aqueduct dehiscence is important in the assessment of patients with otologic symptoms such as vertigo, tinnitus and hearing loss.
Identifiants
pubmed: 35842486
doi: 10.1007/s00276-022-02983-y
pii: 10.1007/s00276-022-02983-y
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1041-1044Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Friedmann DR, Eubig J, Winata LS, Pramanik BK, Merchant SN, Lalwani AK (2012) A clinical and histopathologic study of jugular bulb abnormalities. Arch Otolaryngol Head Neck Surg 138(1):66–71. https://doi.org/10.1001/archoto.2011.231
doi: 10.1001/archoto.2011.231
pubmed: 22249632
Okudera T, Huang YP, Ohta T, Yokota A, Nakamura Y, Maehara F, Utsunomiya H, Uemura K, Fukasawa H (1994) Development of posterior fossa dural sinuses, emissary veins, and jugular bulb: morphological and radiologic study. AJNR Am J Neuroradiol 15(10):1871–1883
pubmed: 7863937
pmcid: 8334261
van Rompaey V, Offeciers E, de Foer B, Somers T (2012) Jugular bulb diverticulum dehiscence towards the vestibular aqueduct in a patient with otosclerosis. J Laryngol Otol 126(3):313–315. https://doi.org/10.1017/S0022215111003100
doi: 10.1017/S0022215111003100
pubmed: 22216874
Sayit AT, Gunbey HP, Fethallah B, Gunbey E, Karabulut E (2016) Radiological and audiometric evaluation of high jugular bulb and dehiscent high jugular bulb. J Laryngol Otol 130(11):1059–1063. https://doi.org/10.1017/S0022215116009166
doi: 10.1017/S0022215116009166
pubmed: 27823580
Singla A, Gupta T, Sahni D, Aggarwal A, Gupta A (2016) High jugular bulb: different osseous landmarks and their clinical implications. Surg Radiol Anat 38(8):903–909. https://doi.org/10.1007/s00276-016-1649-2
doi: 10.1007/s00276-016-1649-2
pubmed: 26905075
Hourani R, Carey J, Yousem DM (2005) Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr 29(5):657–662. https://doi.org/10.1097/01.rct.0000175499.34213.5d
doi: 10.1097/01.rct.0000175499.34213.5d
pubmed: 16163038
Li S, Shen N, Cheng Y, Sha Y, Wang Z (2015) The effect of jugular bulb-vestibular aqueduct dehiscence on hearing and balance. Acta Otolaryngol 135(11):1103–1107. https://doi.org/10.3109/00016489.2015.1062141
doi: 10.3109/00016489.2015.1062141
pubmed: 26113169
Friedmann DR, Le BT, Pramanik BK, Lalwani AK (2010) Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope 120(2):365–372. https://doi.org/10.1002/lary.20699
doi: 10.1002/lary.20699
pubmed: 19924772
Madden C, Halsted M, Meinzen-Derr J, Bardo D, Boston M, Arjmand E, Nishimura C, Yang T, Benton C, Das V, Smith R, Choo D, Greinwald J (2007) The influence of mutations in the SLC26A4 gene on the temporal bone in a population with enlarged vestibular aqueduct. Arch Otolaryngol Head Neck Surg 133(2):162–168. https://doi.org/10.1001/archotol.133.2.162
doi: 10.1001/archotol.133.2.162
pubmed: 17309986