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A Rare Cause of Red Tympanic Membrane: Jugular Bulb Diverticulum
Boon Chin Te1,2, Kai Ping Ong1, Izny Hafiz Zainon1
1Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultanah Bahiyah, Kedah, Malaysia.
Significance Statement:
Pulsatile tinnitus with erythematous tympanic membrane mass suggests vascular pathologies such as dural arteriovenous fistula, glomus tympanicum, or aberrant carotid artery. Jugular bulb aneurysmatic diverticulum is rare but should be suspected in a case with the presence of aneurysm in other organs. An imaging study is mandatory to confirm the diagnosis. Patient must avoid digging ear as it can cause profuse bleeding. Treatment option can be open surgery or endovascular treatment.
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