A 76 year old man with progressive pulsatile tinnitus

 

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Doctor's Information

Name : Maryam
Family :Noori
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : ----------------

 

Patient's Information

Gender : Male
Age : 76

 

Case Section

Head & Neck Imaging

 

Clinical Summary

A 76-year-old male with progressive pulsatile tinnitus.

 

 

Imaging Procedures and Findings

A 76-year-old man with progressive pulsatile tinnitus & vascular retrotympanic mass. Performed CT scan with & without C+ showed enhancing soft tissue mass in jugular foramen with erosive changes in adjacent bone & medial wall of middle ear. Characteristic salt & pepper appearance was depicted on T1w, also associated with sigmoid sinus thrombosis

 

Discussion

A 76-year-old man with progressive pulsatile tinnitus & vascular retrotympanic mass. Performed CT scan with & without C+ showed enhancing soft tissue mass in jugular foramen with erosive changes in adjacent bone & medial wall of middle ear. Characteristic salt & pepper appearance was depicted on T1w, also associated with sigmoid sinus thrombosis

 

Final Diagnosis

Glomus jugulotympanicum paraganglioma & associated sinus thrombosis

 

References

Diagnostic Imaging Head & Neck, Harnsberger, et al. Fundamental of diagnostic radiology, William E. Brant, Clyde A. Helms

 

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