Casper stent in the treatment of pulsatile tinnitus in fibromuscular dysplasia: Therapeutic review and case report

Abstract

Fibromuscular dysplasia (FMD) is a known cause of pulsatile tinnitus that can, on rare occasion, evolve into an incapacitating condition. It is a noninflammatory and nonatherosclerotic arteriopathy of unknown cause that affects medium-sized vessels, such as the carotid and renal arteries, occurring mainly in women. We describe a 72-year-old woman suffering from pulsatile tinnitus refractory to medical treatment who was successfully treated with Casper stent in the carotid artery. The different treatment strategies published in the literature were reviewed.

Keywords

• carotid artery angioplasty stenting
• casper stent
• dual-layer stent
• fibromuscular dysplasia
• tinnitus