Pulsatile Tinnitus due to Intracranial Dural Arteriovenous Fistula after Head Trauma by a Golf Ball.
10.3342/kjorl-hns.2015.58.8.589
- Author:
Yong Jun CHOI
1
;
Se In CHOI
;
Jae Jin SONG
;
Joo Hyun PARK
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dongguk University, Ilsan Hospital, Goyang, Korea. parkzzu19@dongguk.ac.kr
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula;
Embolization;
Pulsatile tinnitus
- MeSH:
Angiography;
Arteriovenous Fistula;
Central Nervous System Vascular Malformations*;
Craniocerebral Trauma*;
Diagnosis;
Female;
Golf*;
Head*;
Humans;
Meningeal Arteries;
Middle Aged;
Physical Examination;
Superior Sagittal Sinus;
Tinnitus*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2015;58(8):589-593
- CountryRepublic of Korea
- Language:English
-
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.
