CONCLUSION: PT resulting from either SSD or MFD-VS can be treated successfully with transmastoid resurfacing of the venous wall. Preoperative ipsilesional LFHL and the improvement of hearing threshold after surgical intervention may be preoperative and postoperative surrogate objective signatures of PT. To ensure the resolution of symptoms, secure reconstruction with firm materials and long-term follow-up are mandatory. ABBREVIATIONS: LFLH, low-frequency hearing loss MCF-VS, middle cranial fossa venous sinus diverticulum MRA, magnetic resonance angiography PT, pulsatile tinnitus SS, sigmoid sinus SSD, sigmoid sinus diverticulum TB, temporal bone TB-CTA, temporal bone computed tomographic angiography (Source: Neurosurgery)
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