• Hippokratia · Oct 2019

    Case Reports

    A rare case of jugular bulb diverticulum presenting as Meniere's disease, treated with embolization.

    • K Vlachtsis, S Sotiroudi, N Tsetsos, and V Katsaridis.
    • Otolaryngology Department, G. Papanikolaou General Hospital, Thessaloniki, Greece.
    • Hippokratia. 2019 Oct 1; 23 (4): 172-174.

    Background  Jugular bulb diverticulum constitutes a rare clinical entity that may present with variable symptoms. When obstructing the endolymphatic duct, it may cause sensorineural hearing loss and vertigo, mimicking Meniere's disease. Diagnosis is based on computed tomography and magnetic resonance imaging scans, with magnetic resonance and digital subtraction angiography being more specific and detailed diagnostic methods. Treatment options include surgical decompression, endovascular embolization, or stenting. Description of the case: We report a jugular bulb diverticulum case manifesting as Meniere's disease and treated with endovascular embolization. The procedure was uneventful, and the patient's vertigo gradually disappeared over two months. No medical treatment was required for the next 2.5 years as the patient remained asymptomatic with no more vertigo attacks.ConclusionEndovascular embolization can be the method of choice in selected cases of jugular bulb diverticulum. HIPPOKRATIA 2019, 23(4): 172-174.Copyright 2019, Hippokratio General Hospital of Thessaloniki.

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