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Case Reports

A Pulsatile Tinnitus Case Associated with Internal Jugular Vein Stenosis Diagnosed by Multidetector Computerised Tomography Angiography

DOI: 
10.7727/wimj.2016.552
Synopsis: 
ABSTRACT Tinnitus is a discomforting condition associated with a sound in one or both ears that occurs without an external stimulus and can be either pulsatile or continuous. Vascular and non-vascular factors involve in etiology of pulsatile tinnitus (PT) that requires a careful physical examination and evaluation with proper and sophisticated imaging techniques to identify the cause(s). In clinical experience, it is known that turning neck towards affected ear decreases PT, whereas turning neck towards unaffected side increases PT in venous hum, due to bending of internal jugular vein (IJV) over the transverse process of the atlas which leads to increased blood flow. In this report, we presented a rare PT case caused directly by jugular vein stenosis, in which clinical characteristics were in disagreement with the literature. In our case, PT markedly reduced, instead of being aggravated, when turning neck to unaffected side in a 35-year old woman. Moreover, there were axial maximal intensity above the left jugular bulb and about 85% stenosis in 3-D volume rendering images. We also discussed the differential diagnosis by multidetector computed tomography angiography with respect to its advantageous over other imagining techniques such as CT, MRI, and MRA as well as conventional angiography.

ABSTRACT

Accepted: 
30 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 08 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Potts Anastomosis: Transthoracic Echocardiographic Features – Tetralogy of Fallot, Doubly Committed Sub-arterial Ventricular Septal Defect, Anomalous Left Anterior Descending Coronary Artery Crossing Right Ventricular Outflow Tract

Issue: 
DOI: 
10.7727/wimj.2017.049
Pages: 
274-8

ABSTRACT

Accepted: 
13 Mar, 2017
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 21 Mar, 2017

Syncope: Clinical Presentation of Bronchial Asthma

Issue: 
DOI: 
10.7727/wimj.2017.048
Pages: 
279-82

ABSTRACT

Accepted: 
13 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 21 Mar, 2017

The Sandwich Technique in the Management of Periarticular Giant Cell Tumour of the Knee

Issue: 
DOI: 
10.7727/wimj.2017.054
Pages: 
148-52

ABSTRACT

Accepted: 
14 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 17 Mar, 2017

A Flare-up of Behcet’s Disease with Sweet’s Syndrome: A Case Report

Issue: 
DOI: 
10.7727/wimj.2014.309
Pages: 
575-77

ABSTRACT

Accepted: 
05 Jan, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 19 Jan, 2017

Water Slide Injuries in Jamaica

Issue: 
DOI: 
10.7727/wimj.2016.459
Pages: 
564-68

 ABSTRACT

PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 01 Sep, 2016

Sonographic Demonstration of a Gastrocnemius Fascial Defect- A Rare Cause of Calf Pain

Issue: 
DOI: 
10.7727/wimj.2016.354
Pages: 
153-6

ABSTRACT

Fascial defects with muscular herniation are an uncommon, treatable cause of calf pain. Differential diagnosis includes deep vein thrombosis, compartment syndrome, soleus strain/tear, and muscle or subcutaneous tumour. In this case, sonography was more sensitive for diagnosis than magnetic resonance imaging.

Accepted: 
12 Aug, 2016
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 12 Aug, 2016

Novel Fabrication Technique for Root-supported Overdentures: A Case Report

Issue: 
DOI: 
10.7727/wimj.2016.244
Pages: 
89-93

ABSTRACT

Accepted: 
30 Jun, 2016
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 21 Jul, 2016

Inferior Thyroid Artery Precluding Fine Needle Aspiration Biopsy

DOI: 
10.7727/wimj.2016.288

INTRODUCTION

Accepted: 
12 Jun, 2015
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 19 Jul, 2016

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Abdominal Apoplexy after Pulmonary Lobectomy for Lung Cancer

Issue: 
DOI: 
10.7727/wimj.2016.064
Pages: 
289-91

ABSTRACT

Abdominal apoplexy is a rare clinical entity, and its clinical manifestations are diverse. This case report is of a 52-year-old man who developed right upper abdominal pain with unstable haemodynamics 32 hours after right upper pulmonary lobectomy for lung carcinoma. Abdominal computed tomography showed a ruptured right gastric artery aneurysm.

Accepted: 
20 Apr, 2016
PDF Attachment: 
Journal Sections: 
e-Published: 25 Apr, 2016

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