✦ The floor
Discussion
Signed responses from readers of the wire.
✦ Clinical Takeaway ✦
No actionable change — this is a single case report; contralateral stent implantation for pulsatile tinnitus remains an anecdotal intervention requiring systematic study before any clinical consideration.
✦ Why It Matters ✦
Pulsatile tinnitus caused by vascular abnormalities is under-recognized and poorly understood; novel vascular intervention reports, even single cases, can generate hypotheses for future controlled investigation.
✦ Key Points ✦
- 01Single case report of pulsatile tinnitus resolved after contralateral (opposite-side) stent placement.
- 02Published in Stroke, suggesting a vascular mechanism underlying this patient's tinnitus.
- 03Contralateral — not ipsilateral — stenting was the intervention, which is mechanistically noteworthy.
- 04Case reports cannot establish causality or generalizability.
- 05Raises hypothesis about cross-hemispheric vascular contributions to pulsatile tinnitus.
✦ Claims & Evidence ✦
ClaimEvidenceSupport
Pulsatile tinnitus was alleviated following contralateral stent implantation in this patient.
studypartially supported✦ Research metadata ✦
- PMID
- 42932401
- DOI
- 10.1161/STROKEAHA.126.056600.
- Journal
- Stroke
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with pulsatile tinnitus
- Intervention
- Contralateral intracranial or cervical stent implantation
Primary outcomes
Resolution or reduction of pulsatile tinnitus symptoms