| 목정맥팽대곁주머니에 의한 두위 의존 박동이명 |
| 서범석1, 홍종화1, 김경인1, 윤태연1, 김동준1, 김재명1,2*, 이승한1,2* |
1전남대학교병원 신경과
2전남대학교 의과대학 신경과학교실 |
| Head Position-Dependent Pulsatile Tinnitus due to Jugular Bulb Diverticulum |
| Beom-Seok Seo MD1, Jong Hwa Hong MD1, Kyung-In Kim MD1, Tae-Yeon Yun MD1, Dong Joon Kim MD1, Jae-Myung Kim MD, PhD1,2*, Seung-Han Lee MD, PhD1,2* |
1Department of Neurology, Chonnam National University Hospital, Gwangju, Korea
2Department of Neurology, Chonnam National University Medical School, Gwangju, Korea |
Corresponding Author:
Jae-Myung Kim ,Tel: +82-62-220-4537, Fax: +82-62-228-3461, Email: jaemyungkim@jnu.ac.kr
Seung-Han Lee ,Tel: +82-62-220-6274, Fax: +82-62-228-3461, Email: nrshlee@chonnam.ac.kr
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| *These authors contributed equally to this work |
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Received: July 13, 2026 Revised: August 22, 2026 Accepted: August 24, 2026 Published online: November 1, 2026 |
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| Abstract |
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A 57-year-old woman presented with position-dependent pulsatile tinnitus in the right ear, worsening with contralateral head rotation and disappearing with ipsilateral neck compression. Temporal bone computed tomography (CT) revealed a right jugular bulb diverticulum with bony dehiscence, while CT and digital subtraction angiography demonstrated dynamic ipsilateral internal jugular vein compression worsening with contralateral head rotation, alongside contralateral transverse sinus agenesis. Symptoms resolved after sinus wall resurfacing. This case underscores the need to comprehensively evaluate coexisting venous abnormalities in pulsatile tinnitus. |
| Key Words:
Tinnitus | Jugular veins | Diverticulum |
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