Pulsatile tinnitus associated with shunt arteriovenous of dural origin: case report

Main Article Content

William Andres Becerra Cuervo
Diana Sofia Rincón Mendoza
Jose Agustin Caraballo Arias

Abstract

Tinnitus is a commun entity, as it’s pulsatile characteristics, it’s important to identify
its etiology given the risk and morbidity that entails, such as tumors of vascular
origin or arteriovenous malformations. Objective: to describe the clinical case of a
patient with pulsatile tinnitus associated with an arteriovenous shunt of dural origin,
this patient received endovascular treatment. Results: To show the clinical followup
and endovascular findings of a patient with pulsatile tinnitus with arteriovenous
malformation who required endovascular treatment, the patient shows resolution
of symptoms in the follow-up at 18 months. Discussion: The importance of studying
patients with pulsatile tinnitus lies in determining possible causes of vascular
origin that explain their symptoms, wich’re mostly not evident in the initial evaluation.
Conclusion: Making an adequate diagnosis allows optimizing the treatment
of each patient, in pulsatile tinnitus associated with arteriovenous shunts, selective
embolization’s usually successful and safe, allowing the symptoms to be completely
resolved.

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How to Cite
1.
Becerra Cuervo WA, Rincón Mendoza DS, Caraballo Arias JA. Pulsatile tinnitus associated with shunt arteriovenous of dural origin: case report. Acta otorrinolaringol cir cabeza cuello [Internet]. 2022Jun.30 [cited 2024May20];50(2):139-42. Available from: https://www.revista.acorl.org.co/index.php/acorl/article/view/594
Section
Reportes de Casos

References

1. Zenner HP, Delb W, Kroner-Herwig B, Jager B, Peroz I, Hesse G, et al. A multidisciplinary systematic review

of the treatment for chronic idiopathic tinnitus. Eur Arch Otorhinolaryngol. 2017;274(5):2079-2091. doi: 10.1007/

s00405-016-4401-y

Cima RFF, Mazurek B, Haider H, Kikidis D, Lapira A, Noreña A, et al. A multidisciplinary European guideline for tinnitus:

diagnostics, assessment, and treatment. HNO. 2019;67(Suppl1):10-42. doi: 10.1007/s00106-019-0633-7

In ‘t Veld M, Fronczek R, de Laat JA, Kunst HPM, Meijer FJA, Willems PWA. The Incidence of Cranial Arteriovenous Shunts

in Patients With Pulsatile Tinnitus: A Prospective Observational Study. Otol Neurotol. 2018;39(5):648-653. doi: 10.1097/

MAO.0000000000001767

Chari DA, Limb CJ. Tinnitus. Med Clin North Am. 2018;102(6):1081-1093. doi: 10.1016/j.mcna.2018.06.014

Cunnane MB. Imaging of Tinnitus. Neuroimaging Clin N Am. 2019;29(1):49-56. doi: 10.1016/j.nic.2018.09.006

Hofmann E, Behr R, Neumann-Haefelin T, Schwager K. Pulsatile tinnitus: imaging and differential diagnosis. Dtsch Arztebl Int.2013;110(26):451-8. doi: 10.3238/arztebl.2013.0451

Reardon MA, Raghavan P. Venous Abnormalities Leading to Tinnitus: Imaging Evaluation. Neuroimaging Clin N Am.

;26(2):237-45. doi: 10.1016/j.nic.2015.12.006

Miller TR, Serulle Y, Gandhi D. Arterial Abnormalities Leading to Tinnitus. Neuroimaging Clin N Am. 2016;26(2):227-36. doi:10.1016/j.nic.2015.12.002

Serulle Y, Miller TR, Gandhi D. Dural Arteriovenous Fistulae: Imaging and Management. Neuroimaging Clin N Am.

;26(2):247-58. doi: 10.1016/j.nic.2015.12.003

Zyck S, De Jesus O, Gould GC. Dural Arteriovenous Fistula. [actualizado 9 de mayo de 2022]. En: StatPearls [Internet].

Treasure Island (FL): StatPearls Publishing; 2022. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK532274/

Mulholland CB, Kalani MYS, Albuquerque FC. Endovascular management of intracranial dural arteriovenous fistulas. Handb Clin Neurol. 2017;143:117-123. doi: 10.1016/B978-0-444-

-9.00011-4

Hébert S, Canlon B, Hasson D, Magnusson Hanson LL,Westerlund H, Theorell T. Tinnitus severity is reduced with

reduction of depressive mood--a prospective population study in Sweden. PLoS One. 2012;7(5):e37733. doi: 10.1371/journal.pone.0037733