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

作　　者：Gregory P.Lekovic Zachary R.Barnard Adam Master b Gautam U.Mehta M.Marcel Maya Eric P.Wilkinson 

机构地区：[1]Department of Neurosurgery,Cedars-Sinai Medical Center,127 S San Vicente Blvd,Los Angeles,CA,90048,United States [2]Division of Neurosurgery,House Institute,2100 West 3rd Street,Los Angeles,CA,90057,United States [3]Division of Neurotology,House Institute,2100 West 3rd Street,Los Angeles,CA,90057,United States [4]Department of Imaging,Cedars-Sinai Medical Center,127 S San Vicente Blvd,Los Angeles,CA,90048,United States

出　　处：《Journal of Otology》2021年第4期225-230,共6页中华耳科学杂志（英文版）

摘　　要：Objectives: The aim of this study was to evaluate the value of digital subtraction angiography (DSA) in thediagnostic 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 possiblevascular 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 sixpatients, and five patients had other significant vascular pathology identified on DSA. Seven patientswith ‘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.

关 键 词：Pulse-synchronous tinnitus Transverse-sigmoid arteriovenous fistula Vascular tinnitus Cerebral angiography 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]