ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Evaluation of sigmoid sinus hemodynamics through four-dimensional flow magnetic resonance imaging in pulsatile tinnitus patients caused by sigmoid sinus wall dehiscence coexisting with idiopathic intracranial hypertension.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate hemodynamics in the sigmoid sinus of sigmoid sinus wall dehiscence (SSWD)-pulsatile tinnitus (PT) patients with idiopathic intracranial hypertension using four-dimensional (4D) flow MRI.
methodsThirty-five SSWD-PT patients with idiopathic intracranial hypertension were prospectively enrolled, together with 35 age-, sex-matched healthy controls and underwent MRI. Hemodynamics in the sigmoid sinus were evaluated by 4D flow MRI. Receiver operating characteristic curves and logistic regression analysis evaluated the ability of the hemodynamic indicators to differentiate SSWD-PT patients from healthy controls.
resultsPT patients presented significantly increased maximum velocity [86.77 ± 7.92 cm/s vs. 46.32 (38.89, 53.96) cm/s], maximum through-plane velocity (Vtp_max) (63.83 ± 16.89 cm/s vs. 45.65 ± 10.92 cm/s), backward flow volume [0.27 (0.06, 0.84) mL vs. 0.04 (0.01, 0.06) mL], regurgitant fraction [10.73 (2.11, 24.30) % vs. 0.47 (0.17, 1.31) %], and average wall shear stress (WSSavg) [0.27 (0.24, 0.33) N/m
conclusionSSWD-PT patients have hemodynamic changes in the sigmoid sinus. The combination of Vtp_max and WSSavg may serve as a valuable noninvasive indicator for differentiating SSWD-PT patients from healthy controls.
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