L’acouphène pulsatile (notice n° 997107)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03658cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125132931.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Houdart, Emmanuel |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | L’acouphène pulsatile |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 72 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Pulsatile tinnitus is defined as a sound perceived synchronously with the patient's pulse. This type of tinnitus differs in every respect from non-pulsatile tinnitus, which is the most common type of tinnitus, but for which there is no curative treatment. Pulsatile tinnitus, on the other hand, has many causes that can often be treated mainly by endovascular approach. Exploration of pulsatile tinnitus should be undertaken in a specialized neuroradiology center. The clinical assessment is based on both auscultation of the skull and cervical areas and selective compression of the internal jugular vein and the common carotid artery homolateral to tinnitus looking for an interruption of the sound. The radiological workup should begin with a cerebral MRI scan exploring the intracranial vessels, arteries and veins. If MRI does not show the cause, the second exploration is a CT scan of the temporal bones and sometimes, angio CT of the supra-aortic vessels. The treatment depends on the isolated cause. The most common cause of pulsatile tinnitus is the stenosis of a lateral sinus, which may be treated by stenting. Any physician consulted by a patient suffering tinnitus should distinguish the non-pulsatile type from the pulsating type, because the management is completely different. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’acouphène pulsatile se définit comme un son perçu de façon synchrone aux battements cardiaques. Ce type d’acouphène se distingue en tout point de l’acouphène continu, le plus fréquent, mais pour lequel il n’existe aucun traitement curateur. L’acouphène pulsatile, quant à lui, a de nombreuses causes souvent traitables par voie endovasculaire. L’exploration de ce symptôme doit être entreprise dans un centre de neuroradiologie spécialisé. Le bilan clinique repose sur l’auscultation du crâne et de la région cervicale à la recherche d’un souffle et sur la compression sélective de la veine jugulaire interne et de la carotide commune homolatérales à l’acouphène à la recherche d’une interruption du bruit. Le bilan radiologique doit débuter par une imagerie par résonance magnétique (IRM) cérébrale orientée vers l’exploration des vaisseaux intracrâniens. Le second examen est le scanner des rochers en coupes fines, complété, le cas échéant, par un angioscanner des troncs supra-aortiques. Le traitement dépend de la cause isolée. La cause la plus fréquente est la sténose d’un sinus latéral dont le traitement peut être réalisé par stenting du sinus latéral. Tout praticien consulté par un patient souffrant d’acouphène devrait savoir distinguer le type continu du type pulsatile, tant la prise en charge est différente. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sinus latéral |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acouphène pulsatile |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | stent |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | embolisation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sinus latéral |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acouphène pulsatile |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | stent |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | embolisation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | embolization |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | stent |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | lateral sinus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pulsatile tinnitus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | embolization |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | stent |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | lateral sinus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pulsatile tinnitus |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Sang Thrombose Vaisseaux | Volume 32 | 4 | 2020-07-01 | p. 148-154 | 0999-7385 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sang-thrombose-vaisseaux-2020-4-page-148?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sang-thrombose-vaisseaux-2020-4-page-148?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux