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KMID : 0390220000110010129
Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 1 p.129 ~ p.132
A Case of Tinnitus Caused by Spontaneous Arteriovenous Fistula of the Superficial Temporal Artery




Abstract
An arteriovenous fistula consists of an endothlial lined communicaiton between artery and vein without
interposed capillary bed. Tinnitus related vascular abnormalities is usually a soft, rushing and pulsatile sound
which is synchronous with the heartbeat. Congenital interconnections between the occipital artery and the
transverse sinus, internal carotid artery and the vertebral vessels, or the middle menigeal artery and the greater
superficial petrosal sinus have been reported. Superficial temporal artery fistular cause tinitus rarely. We
experienced a case of spontaneous arteriovenous fistula of superficial temporal artery causing pulsatile tinnitus
which was treated with surgical excision after preoperative embolization with coils. So we report the case with
review of literatures.
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