Venous sinus stenting for pulsatile tinnitus secondary to venous sinus stenosis: a dual-center retrospective cohort study

Pulsatile tinnitus (PT) can emerge due to stenosis in the venous sinus, which leads to turbulent venous flows and increased pressures within the veins. Stenting of the venous sinus (VSS) is a potential intervention to relieve PT and is considered minimally invasive, as it restores proper venous flow....

Venous sinus stenting appears to be a viable intervention for pulsatile tinnitus caused by venous sinus stenosis; audiologists encountering patients with pulsatile tinnitus should ensure prompt referral to neurovascular teams for imaging workup, as a treatable structural cause may be present.

Establishing the efficacy and safety profile of venous sinus stenting across two centers strengthens the evidence base for a neurovascular treatment option in a tinnitus subtype that is often underrecognized and undertreated.

1. 01Dual-center retrospective cohort study evaluating venous sinus stenting for pulsatile tinnitus due to venous sinus stenosis.
2. 02Pulsatile tinnitus from venous sinus stenosis is a structurally treatable cause that requires neurovascular referral.
3. 03Retrospective design limits causal conclusions; prospective data needed.
4. 04Published in Neurosurgery Review (2026).
5. 05Findings are relevant to audiologists for identifying and appropriately triaging pulsatile tinnitus patients.

PMID

42493657

DOI

10.1007/s10143-026-04412-9.

Journal

Neurosurgery Review

Publication type

research_article

Evidence level

2b

Population

Adults with pulsatile tinnitus secondary to venous sinus stenosis

Intervention

Venous sinus stenting