Role of cerebral digital subtraction angiography in the evaluation of pulse synchronous tinnitus

IF 1.4 Q2 OTORHINOLARYNGOLOGY Journal of Otology Pub Date : 2021-10-01 DOI:10.1016/j.joto.2021.03.002

Gregory P. Lekovic , Zachary R. Barnard , Adam Master , Gautam U. Mehta , M. Marcel Maya , Eric P. Wilkinson

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引用次数: 3

Abstract

Objectives

The aim of this study was to evaluate the value of digital subtraction angiography (DSA) in the diagnostic evaluation of a highly selected patient population presenting with pulse-synchronous tinnitus (PST).

Methods

We retrospectively reviewed the charts of all patients referred for evaluation of possible vascular etiology of pulsatile tinnitus. Patients were evaluated with regards to presenting signs, comorbidities, non-invasive imaging results, angiographic findings and outcomes.

Results

Fifteen patients underwent cerebral DSA. Dural arteriovenous fistula (dAVF) was identified in six patients, and five patients had other significant vascular pathology identified on DSA. Seven patients with ‘negative’ non-invasive imaging were found to have significant pathology on DSA.

Conclusions

Catheter angiography may have a significant yield in appropriately selected patients presenting with pulse synchronous tinnitus.

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脑数字减影血管造影在脉搏同步耳鸣评价中的作用

目的:本研究的目的是评估数字减影血管造影(DSA)在高度选定的脉搏同步性耳鸣(PST)患者群体中的诊断评估价值。方法回顾性分析所有患者的病历，以评估搏动性耳鸣可能的血管病因。评估患者的症状、合并症、无创成像结果、血管造影结果和结果。结果15例患者行脑DSA检查。6例患者发现硬脑膜动静脉瘘(dAVF)， 5例患者在DSA上发现其他明显的血管病变。7例无创影像阴性的患者在DSA上发现了明显的病理变化。结论经适当选择的脉搏同步性耳鸣患者经导管造影可获得显著的检出率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Otology Medicine-Otorhinolaryngology

CiteScore

2.70

自引率

0.00%

发文量

461

审稿时长

18 days

期刊介绍： Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.