[Pulsatile tinnitus as the presenting symptom of dural arteriovenous fistula in two cases].
Pulsatile tinnitus associated with normal otoscopic findings may present as the only sign of a potentially life-threatening serious disease such as a dural arteriovenous fistula (dAVF) of the transverse or sigmoid sinus. If left untreated, dAVFs may lead to focal neurologic symptoms, intracranial hypertension, or hemorrhage, and finally to death. We report two cases of dAVF presenting with pulsatile tinnitus. Following diagnosis, both patients underwent transarterial embolization, after which their symptoms resolved.
Akyildiz
Serdar
S
Department of Otolaryngology, Division of Interventional Radiology, Medicine Faculty of Ege University, Izmir, Turkey. serdar@akyildiz.net
Kirazli
Tayfun
T
Memiş
Ahmet
A
D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D014012:Tinnitus / Q000209:etiology*