Spontaneous bilateral dural arteriovenous fistulas with pulsatile tinnitus | Ear, Nose & Throat Journal Skip to content Skip to navigation

Spontaneous bilateral dural arteriovenous fistulas with pulsatile tinnitus

| Reprints
January 19, 2015
by Tzu-Chieh Lin, MD; Hsiung-Kwang Chung, MD; Jeng-Nan Hsu, MD

Abstract

Pulsatile tinnitus with normal otoscopic findings often presents a diagnostic challenge to otolaryngologists and can be attributed to serious vascular malformations such as dural arteriovenous fistulas (DAVFs). Spontaneous DAVFs are relatively rare. A 65-year-old woman presented with sudden-onset subjective/objective pulsatile tinnitus on the right side that had persisted for 2 months. Angiography and magnetic resonance angiography revealed DAVF formation. Stereotactic radiosurgery was performed, and total remission of the DAVFs was achieved.

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