The jugular bulb is the place where the lateral venous sinuses meet in the jugular fossa and the jugular bulb abnormalities include high-riding jugular bulb and jugular bulb diverticulum. These abnormalities may produce symptoms depending upon their association and impact on the surrounding structures. Usually, jugular bulb abnormalities erode into the inner ear and cause impairment of hearing, complete hearing loss, imbalance, tinnitus, and vertigo.
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My right and left jugular veins are not similar. Why?
Query: Hi doctor, When I bore down, I felt a little round ball under the skin on one of my jugular veins on the left side. I have no other symptoms. Is it normal? Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Bearing down is called the Valsalva maneuver in medical terms. During valsalva maneuver, it is normal for neck veins to become prominent. This is normal in the absence of symptoms. Since all your cardiac workup is normal, this is normal. These are external jugular veins, ... Read Full »
Does my MRI show the cause of tinnitus?
Query: Hi doctor, My issue is that around six months before I started getting tinnitus in both my ears. A month later, I had an MRI and a couple of neurologists said that the MRI is fine. I was referred to an ENT doctor. One ENT doctor said that all is fine after several audiography tests. Now, three weeks... Read Full »
Answer: Hi, Welcome to icliniq.com. Your MRI looks grossly normal. In an unexplained tinnitus like this, you need further investigations to rule out two rare conditions, jugular bulb abnormalities and sigmoid sinus diverticulum (sinus wall abnormality). You will require high resolution CT of the tempor... Read Full »
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