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Multiple Venous Malformations as a Cause of Pulsatile Tinnitus.
Al Afif, Ayham; Alamoudi, Uthman; Al-Sayed, Ahmed A; Bance, Manohar.
Afiliación
  • Al Afif A; Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada.
  • Alamoudi U; Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada.
  • Al-Sayed AA; Department of Otolaryngology-Head and Neck Surgery, Hail University, Hail, Saudi Arabia.
  • Bance M; Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada.
Case Rep Otolaryngol ; 2020: 8867963, 2020.
Article en En | MEDLINE | ID: mdl-32832182
INTRODUCTION: Pulsatile tinnitus is a relatively common presentation in otolaryngology clinics, most cases of which have a treatable cause. This presentation warrants a thorough workup to identify treatable, and rule out life-threatening, etiologies. We present a case of a patient with pulsatile tinnitus arising from multiple dilated venous channels in the head and neck. Case Presentation. We present the case of a 65-year-old Caucasian female with a two-year history of progressive, bilateral pulsatile tinnitus, which had become debilitating. Computed-tomographic angiography (CTA) studies ruled out an intracranial vascular cause for her symptoms. However, computed tomography (CT) scanning and magnetic resonance imaging (MRI) revealed multiple dilated bilateral, low-flow, venous channels throughout the head and neck. The proximity of such dilated venous channels to the temporal bone provides a route for sound to be transmitted to the inner ear. CONCLUSION: Arterial, venous, and systemic etiologies can cause pulsatile tinnitus. Arteriovenous malformations (AVMs) of the head and neck represent less than 1% of cases. In our patient, dilated low-flow venous malformations are the likely source of her symptoms, which is the first reported case in the literature.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Case Rep Otolaryngol Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Case Rep Otolaryngol Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos