Arteriovenöse durafistel als seltene ursache für einen pulssynchronen tinnitus: Eine fallbeschreibung und überblick über die literatur

Translated title of the contribution: A dural fistula as a rare cause for a pulse-synchronized tinnitus aurium: A case report with overview of the literature

Carsten Brocks*, C. Bela, C. Gaebel, B. Wollenberg, K. Sommer

*Corresponding author for this work
1 Citation (Scopus)

Abstract

Pulse-synchronized tinnitus aurium is commonly caused by vascular processes within the area of the temporal bone. With a microphone or a stethoscope in the external ear or on the mastoid perceptible noises can be heard by the physican. The most important differential diagnoses of an objective tinnitus are paraganglioma of the glomus jugulare or the glomus tympanicum, vascular stenosis, arteriovenouse malformations, aneurysms and atypic findings of the bulbus venae jugularis interna of the temporal bone. In case of a pulse-synchronized tinnitus purposeful use of neuroradiological diagnostic can lead to a correct diagnosis. The indication for invasive intervention of dural fistulas depends on the number and the hemodynamic relevance of these fistulas and on individual suffering of the patient. Even if it does not succeed, all to embolize AV-short-circuits, it is possible to reduce the intensity of the tinnitus in order to continue with conservative therapy.

Translated title of the contributionA dural fistula as a rare cause for a pulse-synchronized tinnitus aurium: A case report with overview of the literature
Original languageGerman
JournalLaryngo- Rhino- Otologie
Volume87
Issue number8
Pages (from-to)573-578
Number of pages6
ISSN0935-8943
DOIs
Publication statusPublished - 08.2008

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