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ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2022, Number 2

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Acta de Otorrinolaringología CCC 2022; 50 (2)

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

Becerra CWA, Rincón MDS, Caraballo AJA

Language: Spanish
References: 12
Page: 139-142
PDF size: 154.76 Kb.


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.


REFERENCES

  1. Zenner HP, Delb W, Kroner-Herwig B, Jager B, Peroz I, HesseG, et al. A multidisciplinary systematic review of the treatmentfor chronic idiopathic tinnitus. Eur Arch Otorhinolaryngol.

  2. 2017;274(5):2079-2091. doi: 10.1007/s00405-016-4401-y2. Cima RFF, Mazurek B, Haider H, Kikidis D, Lapira A, NoreñaA, 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

  3. In ‘t Veld M, Fronczek R, de Laat JA, Kunst HPM, Meijer FJA,Willems PWA. The Incidence of Cranial Arteriovenous Shuntsin Patients With Pulsatile Tinnitus: A Prospective ObservationalStudy. Otol Neurotol. 2018;39(5):648-653. doi: 10.1097/MAO.0000000000001767

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

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

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

  7. Reardon MA, Raghavan P. Venous Abnormalities Leadingto Tinnitus: Imaging Evaluation. Neuroimaging Clin N Am.2016;26(2):237-45. doi: 10.1016/j.nic.2015.12.006

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

  9. Serulle Y, Miller TR, Gandhi D. Dural Arteriovenous Fistulae:Imaging and Management. Neuroimaging Clin N Am.2016;26(2):247-58. doi: 10.1016/j.nic.2015.12.003

  10. 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. Disponibleen: https://www.ncbi.nlm.nih.gov/books/NBK532274/

  11. Mulholland CB, Kalani MYS, Albuquerque FC. Endovascularmanagement of intracranial dural arteriovenous fistulas. HandbClin Neurol. 2017;143:117-123. doi: 10.1016/B978-0-444-63640-9.00011-4

  12. Hébert S, Canlon B, Hasson D, Magnusson Hanson LL,Westerlund H, Theorell T. Tinnitus severity is reduced withreduction of depressive mood--a prospective population studyin Sweden. PLoS One. 2012;7(5):e37733. doi: 10.1371/journal.pone.0037733




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