Patulous Eustachian tube in spontaneous intracranial hypotension syndrome.

Abstract:

:A 48-year-old slender woman presented with a rare case of spontaneous intracranial hypotension syndrome manifesting as patulous Eustachian tube. The patient complained of sudden onset of ear fullness and nasal voice as well as typical orthostatic headache. Patulous Eustachian tube was identified by observation of synchronous movement of the tympanic membrane with respiration and swallowing. The diagnosis of spontaneous intracranial hypotension was confirmed by negative cerebrospinal fluid pressure, and typical magnetic resonance imaging and radioisotope cisternography findings. All symptoms completely resolved within a few days after epidural blood patch treatment. Changes in the venous blood distribution led by collapse of the dural sac of the cervical spine in the standing position presumably caused decreased size of the pterygoid venous plexus around the Eustachian tube.

journal_name

Headache

journal_title

Headache

authors

Horikoshi T,Imamura S,Matsuzaki Z,Umeda T,Uchida M,Mitsuka K,Kinouchi H

doi

10.1111/j.1526-4610.2006.00661.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

131-5

issue

1

eissn

0017-8748

issn

1526-4610

pii

HED661

journal_volume

47

pub_type

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