MASQUERADING TINNITUS- A DURAL AV FISTULA

Dr Abhas Kumar, Pushpendra N Renjen, Dr. Dinesh Chaudhari, Dr. Malavika B. G., Dr Anjali Mishra

Abstract


Pulsatile tinnitus (PT) is usually an initial symptom of dural arteriovenous fistula (dAVF), although commonly neglected or overlooked if not
suspected on initial diagnostic work-up. Here we are presenting a case of pulsatile tinnitus of over a decade duration without any neurological
impairment and its complete resolution after embolization with almost complete resolution of tinnitus. Hence, not only otolaryngologists but also
neurologists and neurosurgeons should be aware of this entity and meticulously evaluate patients with PT. In almost all cases PT originating from
dAVF can be cured with trans-arterial embolization irrespective of its location and its venous drainage pattern.


Keywords


Pulsatile Tinnitus, Dural Arteriovenous Fistula; Embolization

Full Text:

PDF

References


Park SN. Tinnitus: recent treatment. Res Vestib Sci 2009;8:108-16.

Madani G, Connor SE. Imaging in pulsatile tinnitus. Clin Radiol 2009;64:319- 28.

Sismanis A. Pulsatile tinnitus. A 15-year experience. Am J Otol 1998; 19:472-7.

Waldvogel D, Mattle HP, Sturzenegger M, Schroth G. Pulsatile tin¬nitus--a review of 84 patients. J Neurol 1998;245:137-42.

An YH, Han S, Lee M, Rhee J, Kwon OK, Hwang G, Jung C, Bae YJ, An GS, Lee K,

Koo JW, Song JJ. Dural arteriovenous fistula masquerading as pulsatile tinnitus:

radiologic assessment and clinical implications. Sci Rep. 2016 Nov 4;6:36601.

doi: 10.1038/srep36601. PubMed PMID: 27812001; PubMed Central PMCID: PMC5095646.

Kiyosue, H. et al. Treatment of intracranial dural arteriovenous fistulas: current strategies based on location and hemodynamics, and alternative techniques of transcatheter embolization. Radiographics: a review publication of the Radiological Society of North America, Inc 24, 1637–1653, doi: 10.1148/rg.246045026 (2004).

Gandhi, D. et al. Intracranial dural arteriovenous fistulas: classification, imaging findings, and treatment. AJNR. American journal of neuroradiology 33, 1007–1013, doi: 10.3174/ajnr.A2798 (2012).

Pradilla, G., Coon, A. L., Huang, J. & Tamargo, R. J. Surgical treatment of cranial arteriovenous malformations and dural arteriovenous fistulas. Neurosurg Clin N Am 23, 105–122, doi: 10.1016/j.nec.2011.10.002 (2012).

Wachter, D., Hans, F., Psychogios, M. N., Knauth, M. & Rohde, V. Microsurgery can cure most intracranial dural arteriovenous

fistulae of the sinus and non-sinus type. Neurosurg Rev 34, 337–345; discussion 345, doi: 10.1007/s10143-011-0318-5 (2011).

Kiyosue, H. et al. Treatment of intracranial dural arteriovenous fistulas: current strategies based on location and hemodynamics, and

alternative techniques of transcatheter embolization. Radiographics: a review publication of the Radiological Society of North America, Inc 24, 1637–1653, doi: 10.1148/rg.246045026 (2004).

Gandhi, D. et al. Intracranial dural arteriovenous fistulas: classification, imaging findings, and treatment. AJNR. American journal of neuroradiology 33, 1007–1013, doi: 10.3174/ajnr.A2798 (2012).


Refbacks

  • There are currently no refbacks.