Summary
A case with severe pulsatile tinnitus of the left side caused by occlusion of the right common carotid artery was reported. Tinnitus in this case was supposed to be due to the rich blood flow of the external carotid systems developed as collateral routes resulting from the occlusion of the right common carotid artery. It subsided with the establishment of a bypass using a vein graft between the ascending aorta and the residual patent portion of the right common carotid artery.
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References
Abiko S, Yamashita T, Nakano Set al (1988) Treatment of recurrent stenosis of the common carotid artery by combined internal carotid ligation and carotid-subclavian bypass with interposition saphenous vein grafts. Surg Cerebr Stroke 16: 367–371
Diaz FG, Umansky F, Mehta Bet al (1985) Cerebral revascularization to a main limb of the middle cerebral artery in the Sylvian fissure. An alternative approach to conventional anastomosis. J Neurosurg 63: 21–29
Hallet JW, Cherry KL Jr, Pairolero PCet al (1987) Brachiocephalic reconstruction: Operative techniques. In: Sundt TMA (ed) Occlusive cerebrovascular disease. Diagnosis and surgical management. Saunders, Philadelphia, pp 369–384
Hirata Y, Tagawa K (1985) Carotid artery occlusion and pulsatile tinnitus. Jap J Stroke 7: 189–194
Holgate RC, Worztman G, Noyek AMet al (1977) Pulsatile tinnitus: The role of angiography. L Otolaryngol 6 [Suppl 3]: 49–62
Kim SH, Nishikawa M, Tsukahara T (1982) Cerebral vertigo caused by ischemia in the carotid artery distribution. Report of three cases. Acta Neurochir (Wien) 66: 55–59
Miyagi J, Sugita Y, Okamoto Yet al (1988) Intracerebral steal phenomenon in a case of the carotid occlusion. Jap J Stroke 10: 293–297
Nagata I: Personal communication.
Nevins MA, Lyon LJ, Kim JM (1978) Multiple arterial abnormalities presenting as pulsatile tinnitus. J Med Soc N 75: 467–470
Nishikawa M, Yonekawa Y (1976) Micro-venous anastomosis. Chir Plast 3: 263–270
Sundt TM III, Sundt TM Jr (1987) Maximizing patency in saphenous vein bypass grafts: Principles of preparation learned from coronary and peripheral vascular surgery. In: Sundt TM Jr (ed) Occlusive cerebrovascular disease. Diagnosis and surgical management. Saunders, Philadelphia, pp 429–438
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Nishikawa, M., Handa, H., Hirai, O. et al. Intolerable pulse-synchronous tinnitus caused by occlusion of the contralateral common carotid artery. Acta neurochir 101, 80–83 (1989). https://doi.org/10.1007/BF01410074
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DOI: https://doi.org/10.1007/BF01410074