Pulsatile Tinnitus due to Intracranial Dural Arteriovenous Fistula after Head Trauma by a Golf Ball / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 589-593, 2015.
Article
in English
| WPRIM
| ID: wpr-651095
ABSTRACT
Diagnosis of traumatic arteriovenous fistula (AVF) is usually delayed because it takes time to be enlarged enough to emerge radiologically or because symptoms occur a few months after the trauma. A 56-year-old woman presented with a newly developed tinnitus immediately after a head trauma. Pulsatile high-frequency tinnitus was heard also by examiner and recorded using a transcanal microphone. Angiography revealed an intracranial dural AVF fed by the middle meningeal artery, draining the superior sagittal sinus on the affected side. After percutaneous transarterial embolization, tinnitus successfully disappeared. The clinical presentation, radiologic and angiographic features, and management are discussed. To our knowledge, this is the first reported case of pulsatile tinnitus caused by AVF developed immediately after a trauma. We emphasize that precise physical examination, laboratory tests, and appropriate radiographic imaging are essential for accurate diagnosis and treatment when a patient presents with pulsatile tinnitus, especially after a head trauma.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Tinnitus
/
Angiography
/
Arteriovenous Fistula
/
Central Nervous System Vascular Malformations
/
Diagnosis
/
Superior Sagittal Sinus
/
Golf
/
Head
/
Craniocerebral Trauma
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2015
Type:
Article
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