Transverse sinus dominance predicts outcome after venous sinus stenting for pulsatile tinnitus

OBJECTIVES: Venous sinus stenting (VSS) is highly effective for pulsatile tinnitus (PT), yet up to 20% of patients experience incomplete relief. We aimed to investigate whether transverse sinus dominance could serve as a non-invasive imaging biomarker for clinical risk stratification.

Continue reading at PubMed →

Transverse sinus dominance may help predict incomplete relief after venous sinus stenting for pulsatile tinnitus; audiologists should be aware of this radiological predictor when co-managing or counselling stenting candidates, though surgical decision-making remains with the neurovascular team.

Identifying pre-procedural imaging predictors of stenting success could improve patient selection and pre-operative counselling for one of the few treatable structural causes of tinnitus.

1. 01Up to 20% of patients undergoing venous sinus stenting for pulsatile tinnitus experience incomplete symptom relief.
2. 02Transverse sinus dominance (size/flow asymmetry of a brain vein) is investigated as a pre-treatment imaging predictor.
3. 03Study published in European Radiology (2026), a high-impact radiology journal.
4. 04Better patient selection tools could reduce procedural risk and improve satisfaction rates.
5. 05Findings are relevant to audiologists involved in tinnitus work-up and multidisciplinary referral pathways.

PMID

42622886

DOI

10.1007/s00330-026-12809-9.

Journal

European Radiology

Publication type

research_article

Evidence level

4

Population

Patients with pulsatile tinnitus undergoing venous sinus stenting

Intervention

Venous sinus stenting for pulsatile tinnitus