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Pulsatile tinnitus as the presenting symptom of dural arteriovenous fistula in two cases

Year 2005, Volume: 15 Issue: 5, 130 - 135, 03.10.2005

Nurullah Serdar Akyıldız Tayfun Kirazlı Ahmet Memiş

Abstract

Pulsatile tinnitus associated with normal otoscopic findings may present as the only sign of a potential- ly life-threatening serious disease such as a dural arteriovenous fistula dAVF of the transverse or sig­ moid sinüs. 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 symp­ toms resolved.

Keywords

Arteriovenous fistula/diagnosis/therapy duramater embolization therapeutic intracranial arteriovenous malformations pulsatile flow tinnitus/etiology vascular diseases/complications

References

  • Waldvogel D, Mattle HP, Sturzenegger M, Schroth G. Pulsatile tinnitus-a review of 84 patients. J Neurol 1998;245:137-42.
  • Cognard C, Houdart E, Casasco A, Gabrillargues J, Chiras J, Merland JJ. Long-term changes in intracranial dural arteriovenous fistulae leading to worsening in the type of venous drainage. Neuroradiology 1997; 39:59-66.
  • Kim MS, Han DH, Kwon OK, Oh CW, Han MH. Clinical characteristics of dural arteriovenous fistula. J Clin Neurosci 2002;9:147-55.
  • Shah SB, Lalwani AK, Dowd CF. Transverse/sigmoid sinus dural arteriovenous fistulas presenting as pul- satile tinnitus. Laryngoscope 1999;109:54-8.
  • Dietz RR, Davis WL, Harnsberger HR, Jacobs JM, Blatter DD. MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol 1994;15:879-89.
  • Shin EJ, Lalwani AK, Dowd CF. Role of angiography in the evaluation of patients with pulsatile tinnitus. Laryngoscope 2000;110:1916-20.
  • Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 1995;194:671-80.
  • Lalwani AK, Dowd CF, Halbach VV. Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 1993;79:11-5.
  • Endo S, Kuwayama N, Takaku A, Nishijima M. Direct packing of the isolated sinus in patients with dural arteriovenous fistulas of the transverse-sigmoid sinus. J Neurosurg 1998;88:449-56.
  • Friedman JA, Pollock BE, Nichols DA, Gorman DA, Foote RL, Stafford SL. Results of combined stereotactic radiosurgery and transarterial embolization for dural arteriovenous fistulas of the transverse and sigmoid sinuses. J Neurosurg 2001;94:886-91.
  • Lownie SP. Intracranial dural arteriovenous fistulas: endovascular therapy. J Neurosurg Clin N Am 1994;5:449-58.
  • Ohtakara K, Murao K, Kawaguchi K, Kuga Y, Kojima T, Taki W, et al. Selective transvenous liquid emboliza- tion of a Type 1 dural arteriovenous fistula at the junc- tion of the transverse and sigmoid sinuses. Case report. J Neurosurg 2000;92:1045-9.
  • Roy D, Raymond J. The role of transvenous emboliza- tion in the treatment of intracranial dural arteriove- nous fistulas. Neurosurgery 1997;40:1133-41; discus- sion 1141-4.

Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus

Year 2005, Volume: 15 Issue: 5, 130 - 135, 03.10.2005

Nurullah Serdar Akyıldız Tayfun Kirazlı Ahmet Memiş

Abstract

Normal otoskopik bulguların eşlik ettiği pulsatil tinni- tus, gerçekte transvers veya sigmoid sinüs dural ar- teriovenöz fistül TSDAVF gibi çok tehlikeli ve yaşa- mı tehdit edici özellik taşıyan bir hastalığın tek belir- tisi olabilmektedir. Tedavi edilmezse, TSDAVF’ler fo- kal nörolojik bulgulara, intrakranyal hipertansiyon veya kanamaya ve nihayet ölüme yol açabilirler. Bu yazıda, pulsatil tinnitus yakınması ile başvuran iki ol- gu sunuldu. İki olguya da TSDAVF tanısı konduktan sonra transarteryel embolizasyon uygulandı. Tedavi- den sonra olguların yakınmaları kayboldu

Keywords

Arteriovenöz fistül/tanı/tedavi dura mater embolizasyon terapötik intrakranyal arteriovenöz malformasyon pulsatil akım tinnitus/etyoloji vasküler hastalık/komplikasyon.

References

  • Waldvogel D, Mattle HP, Sturzenegger M, Schroth G. Pulsatile tinnitus-a review of 84 patients. J Neurol 1998;245:137-42.
  • Cognard C, Houdart E, Casasco A, Gabrillargues J, Chiras J, Merland JJ. Long-term changes in intracranial dural arteriovenous fistulae leading to worsening in the type of venous drainage. Neuroradiology 1997; 39:59-66.
  • Kim MS, Han DH, Kwon OK, Oh CW, Han MH. Clinical characteristics of dural arteriovenous fistula. J Clin Neurosci 2002;9:147-55.
  • Shah SB, Lalwani AK, Dowd CF. Transverse/sigmoid sinus dural arteriovenous fistulas presenting as pul- satile tinnitus. Laryngoscope 1999;109:54-8.
  • Dietz RR, Davis WL, Harnsberger HR, Jacobs JM, Blatter DD. MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol 1994;15:879-89.
  • Shin EJ, Lalwani AK, Dowd CF. Role of angiography in the evaluation of patients with pulsatile tinnitus. Laryngoscope 2000;110:1916-20.
  • Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 1995;194:671-80.
  • Lalwani AK, Dowd CF, Halbach VV. Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 1993;79:11-5.
  • Endo S, Kuwayama N, Takaku A, Nishijima M. Direct packing of the isolated sinus in patients with dural arteriovenous fistulas of the transverse-sigmoid sinus. J Neurosurg 1998;88:449-56.
  • Friedman JA, Pollock BE, Nichols DA, Gorman DA, Foote RL, Stafford SL. Results of combined stereotactic radiosurgery and transarterial embolization for dural arteriovenous fistulas of the transverse and sigmoid sinuses. J Neurosurg 2001;94:886-91.
  • Lownie SP. Intracranial dural arteriovenous fistulas: endovascular therapy. J Neurosurg Clin N Am 1994;5:449-58.
  • Ohtakara K, Murao K, Kawaguchi K, Kuga Y, Kojima T, Taki W, et al. Selective transvenous liquid emboliza- tion of a Type 1 dural arteriovenous fistula at the junc- tion of the transverse and sigmoid sinuses. Case report. J Neurosurg 2000;92:1045-9.
  • Roy D, Raymond J. The role of transvenous emboliza- tion in the treatment of intracranial dural arteriove- nous fistulas. Neurosurgery 1997;40:1133-41; discus- sion 1141-4.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Nurullah Serdar Akyıldız This is me

Tayfun Kirazlı This is me

Ahmet Memiş This is me

Publication Date October 3, 2005
Published in Issue Year 2005 Volume: 15 Issue: 5

Cite

APA Akyıldız, N. S., Kirazlı, T., & Memiş, A. (2005). Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus. The Turkish Journal of Ear Nose and Throat, 15(5), 130-135.
AMA Akyıldız NS, Kirazlı T, Memiş A. Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus. Tr-ENT. October 2005;15(5):130-135.
Chicago Akyıldız, Nurullah Serdar, Tayfun Kirazlı, and Ahmet Memiş. “Dural arteriovenöz fistül Saptanan Iki Olguda öncü Belirti Olarak Pulsatil Tinnitus”. The Turkish Journal of Ear Nose and Throat 15, no. 5 (October 2005): 130-35.
EndNote Akyıldız NS, Kirazlı T, Memiş A (October 1, 2005) Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus. The Turkish Journal of Ear Nose and Throat 15 5 130–135.
IEEE N. S. Akyıldız, T. Kirazlı, and A. Memiş, “Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus”, Tr-ENT, vol. 15, no. 5, pp. 130–135, 2005.
ISNAD Akyıldız, Nurullah Serdar et al. “Dural arteriovenöz fistül Saptanan Iki Olguda öncü Belirti Olarak Pulsatil Tinnitus”. The Turkish Journal of Ear Nose and Throat 15/5 (October 2005), 130-135.
JAMA Akyıldız NS, Kirazlı T, Memiş A. Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus. Tr-ENT. 2005;15:130–135.
MLA Akyıldız, Nurullah Serdar et al. “Dural arteriovenöz fistül Saptanan Iki Olguda öncü Belirti Olarak Pulsatil Tinnitus”. The Turkish Journal of Ear Nose and Throat, vol. 15, no. 5, 2005, pp. 130-5.
Vancouver Akyıldız NS, Kirazlı T, Memiş A. Dural arteriovenöz fistül saptanan iki olguda öncü belirti olarak pulsatil tinnitus. Tr-ENT. 2005;15(5):130-5.