Therapeutic embolization of the dural arteriovenous malformation involvingthe jugular bulb

Citation
Jy. Park et al., Therapeutic embolization of the dural arteriovenous malformation involvingthe jugular bulb, J KOR MED S, 16(4), 2001, pp. 527-531
Citations number
23
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN journal
1011-8934 → ACNP
Volume
16
Issue
4
Year of publication
2001
Pages
527 - 531
Database
ISI
SICI code
1011-8934(200108)16:4<527:TEOTDA>2.0.ZU;2-P
Abstract
Pulsatile tinnitus is a rarely occurring symptom of vascular origin. Most f requently, the symptoms are due to an arteriovenous malformation, to a tumo r of the jugular glomus or to a local arterial stenosis. A 39-yr-old Korean male suffering from pulsatile tinnitus of the left ear was diagnosed to ha ve dural arteriovenous malformation of the jugular bulb. Magnetic resonance imaging and angiography revealed a high-velocity vascular lesion encroachi ng the internal jugular vein and sigmoid sinuses. Digital subtraction angio graphy demonstrated a dural arteriovenous malformation involving the jugula r bulb. The arterial supply was from the neuromeningeal branch of the left ascending pharyngeal artery and inferior tympanic artery. Stenosis of the l eft jugular vein caused retrograde venous drainage through the contralatera l transverse sinus. Superselective embolization of these feeding arteries w as successfully performed using 25% mixture of N-butylcyanoacrylate and lip iodol. In postembolization period, his complaints of pulsatile tinnitus and buzzing noise behind his left ear disappeared.