Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Dec 21;7(4):281-284.
doi: 10.4103/bc.bc_35_20. eCollection 2021 Oct-Dec.

Casper stent in the treatment of pulsatile tinnitus in fibromuscular dysplasia: Therapeutic review and case report

José Ricardo Vanzin  1 , Artur Eduardo Martio  1 , Luciano Bambini Manzato  1 , Daniel Giansante Abud  2
Affiliations
Case Reports

Casper stent in the treatment of pulsatile tinnitus in fibromuscular dysplasia: Therapeutic review and case report

José Ricardo Vanzin et al. Brain Circ. .

Abstract

Fibromuscular dysplasia (FMD) is a known cause of pulsatile tinnitus that can, on rare occasion, evolve into an incapacitating condition. It is a noninflammatory and nonatherosclerotic arteriopathy of unknown cause that affects medium-sized vessels, such as the carotid and renal arteries, occurring mainly in women. We describe a 72-year-old woman suffering from pulsatile tinnitus refractory to medical treatment who was successfully treated with Casper stent in the carotid artery. The different treatment strategies published in the literature were reviewed.

Keywords: Carotid artery angioplasty stenting; Casper stent; dual-layer stent; fibromuscular dysplasia; tinnitus.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Work incidence of pretreatment three-dimensional angiography showing the characteristic string of bead appearance of fibromuscular dysplasia in the right cervical internal carotid artery. (a) Work incidence of posttreatment three-dimensional angiography showing the right cervical internal carotid artery. The white arrows showing mechanical spasm
Figure 2
Figure 2
(a) Follow-up computed tomography angiogram, 12 months after stenting. The image showing the right cervical internal carotid artery in the sagittal plane. (b) Follow-up computed tomography angiogram, 12 months after stenting. The image showing the right cervical internal carotid artery in the coronal plane
See this image and copyright information in PMC

References

    1. Sismanis A. Pulsatile tinnitus: Contemporary assessment and management. Curr Opin Otolaryngol Head Neck Surg. 2011;19:348–57. - PubMed
    1. Sanchez TG, Murao M, de Medeiros IR, Kii M, Bento RF, Caldas JG, et al. A new therapeutic procedure for treatment of objective venous pulsatile tinnitus. Int Tinnitus J. 2002;8:54–7. - PubMed
    1. Wanke I, Forsting M, Rüfenacht DA. Pulsatile tinnitus: radiologic diagnostic and therapeutic options. Neuroradiologie Scan. 2014;2:149–66.
    1. Kadian-Dodov D, Goldfinger JZ, Gustavson S, Olin JW. Natural history of cervical artery fibromuscular dysplasia and associated neurovascular events. Cerebrovasc Dis. 2018;46:33–9. - PubMed
    1. Osborn AG, Anderson RE. Angiographic spectrum of cervical and intracranial fibromuscular dysplasia. Stroke. 1977;8:617–26. - PubMed

Publication types