What is it about?

High-riding jugular bulb is a common abnormality that involves the jugular bulb. It corresponds to a jugular bulb higher than a specific anatomical landmark, which is still controversial. A diverticulum may grow up from the jugular bulb dome in different directions.

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Why is it important?

The jugular bulb may be well-corticated or, on the contrary, dehiscent when the bony cover is deficient. All these anatomical conditions may still be asymptomatic or provoke debilitating symptoms or surgical complications. In this case report, we present a 30-year-old man who suffered from debilitating vertigo and pulsatile tinnitus that hindered his quality of life.

Perspectives

The jugular bulb (JB) is the dilated venous junction that connects the sigmoid sinus (SS) to the internal jugular vein (IJV) [1-3] and occupies the pars vascularis of the jugular foramen [2]. A close relationship exists between the JB and surrounding structures, such as the middle and inner ears and cranial nerves [2,4]. High-riding JB (HRJB), dehiscent HRJB (DHRJB), and JB diverticulum (JBD) are JB abnormalities [5,6]. The threshold that determines an HRJB is still controversial.

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This page is a summary of: Bilateral High-Riding Jugular Bulb and Jugular Diverticulum Dehiscents into the Mastoid cells and Trautmann’s Triangle, Journal of Case Reports and Medical History, January 2024, Acquire Publications LLC,
DOI: 10.54289/jcrmh2400105.
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