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.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Examen Físico
/
Acúfeno
/
Angiografía
/
Fístula Arteriovenosa
/
Malformaciones Vasculares del Sistema Nervioso Central
/
Diagnóstico
/
Seno Sagital Superior
/
Golf
/
Cabeza
/
Traumatismos Craneocerebrales
Tipo de estudio:
Estudio diagnóstico
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Año:
2015
Tipo del documento:
Artículo
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