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Indirect carotid cavernous fistula presenting as pulsatile tinnitus

Published online by Cambridge University Press:  08 March 2006

A. Mohyuddin
A. Mohyuddin
Affiliation:
Department of Otolaryngology, North Manchester General Hospital, Manchester, UK
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Abstract

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This paper reports a case of spontaneous indirect carotid cavernous fistula that presented with pulsatile tinnitus, left-sided temporal headache and left-sided ptosis. The pulsatile tinnitus, its aetiology and investigation are discussed. The importance of pulsatile tinnitus is highlighted, with a discussion of carotidcavernous fistulas. This case illustrates that clinically silent cavernous sinus thrombosis can give rise to spontaneous indirect carotid cavernous fistula. Magnetic resonance imaging angiography was used in diagnosis. Treatment ranges from observation, as in our case, to transvenous endovascular techniques.

Keywords

Carotid ArteryInternalFistulaTinnitus
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 114 , Issue 10 , October 2000 , pp. 788 - 789
Copyright
Royal Society of Medicine Press Limited 2000