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Samples in periodicals archive:
In fact, in an article on the surgical lowering of the high jugular bulb in the treatment of 13 patients with Meniere's disease and pulsatile tinnitus, Couloigner et al postulated that the symptoms in these patients were caused by compression of venous drainage of the endolymphatic duct and/or sac by the high jugular bulb.
The differential diagnosis includes a glomus tumor, middle ear effusion, high jugular bulb, and cholesterol granuloma.
A high jugular bulb might be accompanied by pulsatile tinnitus or by a vascular retrotympanic mass on otoscopic examination.