Tina Mistry MBBS, FRCR, Presenter: Nothing to Disclose

Dominic St Leger MBBCh, BMedSc, Abstract Co-Author: Nothing to Disclose

Ravi K. Lingam MRCP, FRCR, Abstract Co-Author: Nothing to Disclose

1. To review the anatomy of the middle ear highlighting the intimate relationships to local structures. 2. Describe the pathological entities responsible for pulsatile tinnitus. 3. Review the multi-modality (US/CT/MRI) imaging applications and findings in pulsatile tinnitus. 4. What do the surgeons need to know – providing a guide to structured reporting to aid in the patient’s management. ‘Quick review notes’ for the general radiologist and radiology trainee.

1. Comprehensive cross-sectional anatomical review focussing on the: (Middle ear structures, local bony landmarks, vascular anatomy: arterial, venous and dural sinuses and local cranial nerves) 2. Causes of pulsatile tinnitus a. Vascular i. Internal carotid artery abnormalities ii. Aberrant vessels iii. Arteriovenous malformations iv. Aneurysms v. Fibromuscular dysplasia vi. High riding jugular bulb vii. Persistent stapedial artery viii. Compression of the proximal jugular vein ix. High output states b. Tumours i. Paraganglioma ii. Glomus Tympanicum/Jugulotympanicum iii. Ossifying haemangioma iv. Cavernous haemangioma c. Bones i. Sclerosing dysplasias ii. Otospongiosis iii. Otoscelosis iv. Pagets disease 3. Structured report guidelines and ‘quick review notes’.

http://abstract.rsna.org/uploads/2014/14007183/14007183_u2zk.pdf

Mistry, T, St Leger, D, Lingam, R, Lub-dub within the Ear: A Review of Pulsatile Tinnitus.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14007183.html