Normal venous variant with superior & lateral extension of JB into middle ear (ME) through dehiscent sigmoid plate
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hu J et al: Value of CT and three-dimensional reconstruction revealing specific radiological signs for screening causative high jugular bulb in patients with Meniere's disease. BMC Med Imaging. 20(1):103, 2020
Lee SY et al: Jugular bulb resurfacing with bone cement for patients with high dehiscent jugular bulb and ipsilateral pulsatile tinnitus. Otol Neurotol. 40(2):192-9, 2019
Atmaca S et al: High and dehiscent jugular bulb: clear and present danger during middle ear surgery. Surg Radiol Anat. 36(4):369-74, 2014
Ball M et al: Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. J Laryngol Otol. 124(7):790-2, 2010
El-Begermy MA et al: A novel surgical technique for management of tinnitus due to high dehiscent jugular bulb. Otolaryngol Head Neck Surg. 142(4):576-81, 2010
Huang BR et al: Dehiscent high jugular bulb: a pitfall in middle ear surgery. Otol Neurotol. 27(7):923-7, 2006
Hourani R et al: Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr. 29(5):657-62, 2005
Tsunoda A: Sensorineural hearing loss caused by a high jugular bulb. J Laryngol Otol. 114(11):867-9, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Couloigner V et al: Surgical treatment of the high jugular bulb in patients with Meniere's disease and pulsatile tinnitus. Eur Arch Otorhinolaryngol. 256(5):224-9, 1999
Saito T et al: High jugular bulb adhering to the eardrum. Ann Otol Rhinol Laryngol. 108(6):620-2, 1999
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Weiss RL et al: High jugular bulb and conductive hearing loss. Laryngoscope. 107(3):321-7, 1997
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Tomura N et al: Normal variations of the temporal bone on high-resolution CT: their incidence and clinical significance. Clin Radiol. 50(3):144-8, 1995
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Shotton JC et al: Temporal bone venous anomaly of surgical significance. J Laryngol Otol. 103(1):101-6, 1989
Mueller DP et al: Enlarged jugular foramen. Ann Otol Rhinol Laryngol. 97(3 Pt 1):326-7, 1988
Smith B et al: Dehiscent jugular bulb. Ann Otol Rhinol Laryngol. 96(2 Pt 1):232-3, 1987
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Ongre A: The jugular bulb once more. AJR Am J Roentgenol. 135(5):1117, 1980
Normal venous variant with superior & lateral extension of JB into middle ear (ME) through dehiscent sigmoid plate
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hu J et al: Value of CT and three-dimensional reconstruction revealing specific radiological signs for screening causative high jugular bulb in patients with Meniere's disease. BMC Med Imaging. 20(1):103, 2020
Lee SY et al: Jugular bulb resurfacing with bone cement for patients with high dehiscent jugular bulb and ipsilateral pulsatile tinnitus. Otol Neurotol. 40(2):192-9, 2019
Atmaca S et al: High and dehiscent jugular bulb: clear and present danger during middle ear surgery. Surg Radiol Anat. 36(4):369-74, 2014
Ball M et al: Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. J Laryngol Otol. 124(7):790-2, 2010
El-Begermy MA et al: A novel surgical technique for management of tinnitus due to high dehiscent jugular bulb. Otolaryngol Head Neck Surg. 142(4):576-81, 2010
Huang BR et al: Dehiscent high jugular bulb: a pitfall in middle ear surgery. Otol Neurotol. 27(7):923-7, 2006
Hourani R et al: Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr. 29(5):657-62, 2005
Tsunoda A: Sensorineural hearing loss caused by a high jugular bulb. J Laryngol Otol. 114(11):867-9, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Couloigner V et al: Surgical treatment of the high jugular bulb in patients with Meniere's disease and pulsatile tinnitus. Eur Arch Otorhinolaryngol. 256(5):224-9, 1999
Saito T et al: High jugular bulb adhering to the eardrum. Ann Otol Rhinol Laryngol. 108(6):620-2, 1999
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Weiss RL et al: High jugular bulb and conductive hearing loss. Laryngoscope. 107(3):321-7, 1997
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Tomura N et al: Normal variations of the temporal bone on high-resolution CT: their incidence and clinical significance. Clin Radiol. 50(3):144-8, 1995
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Shotton JC et al: Temporal bone venous anomaly of surgical significance. J Laryngol Otol. 103(1):101-6, 1989
Mueller DP et al: Enlarged jugular foramen. Ann Otol Rhinol Laryngol. 97(3 Pt 1):326-7, 1988
Smith B et al: Dehiscent jugular bulb. Ann Otol Rhinol Laryngol. 96(2 Pt 1):232-3, 1987
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Ongre A: The jugular bulb once more. AJR Am J Roentgenol. 135(5):1117, 1980
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