Pulsatile tinnitus and dural arteriovenous malformation.
An unusual case of a patient presenting with left sided pulsatile tinnitus is presented. This was later shown to be due to a dural arteriovenous malformation involving the lateral venous sinus. The diagnosis was suspected by the presence of a bruit over the mastoid process and confirmed by a CT scan and angiography. Management involved pre-operative embolisation and neurosurgical excision. The differential diagnosis of pulsatile tinnitus and the management of a dural arterio venous malformation is discussed.
Morrison
G A
GA
Dept of Otolaryngology, London Hospital, Whitechapel.
D015901:Angiography, Digital Subtraction; D003392:Cranial Sinuses / Q000002:abnormalities*; D004388:Dura Mater / Q000098:blood supply*; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged; D014012:Tinnitus / Q000209:etiology*