Kuhweide R, Ampe W, Depondt M, D'Hont G
Dienst Neus-, Oor- en Keelziekten, AZ Sint-Jan, Brugge.
Acta Otorhinolaryngol Belg. 1988;42(4):513-28.
With the development of improved angiographic techniques, arteriovenous meningeal fistulas are being recognized more and more as an important cause of vascular tinnitus. Vascular tinnitus is generally considered to be objective and pulse-synchronous. This report concerns three cases of vascular tinnitus due to arteriovenous meningeal fistulas. They all could not or only hardly be objectified by auscultation and in one of them any pulse-synchronism was denied. The pathophysiology of vascular tinnitus is reviewed, followed by a more detailed discussion about the pathogenesis, the symptomatology and the radioanatomical aspects of arteriovenous meningeal fistulas. Finally, the report deals with the treatment of those fistulas.
随着血管造影技术的不断改进，脑膜动静脉瘘作为血管性耳鸣的一个重要病因越来越受到人们的认识。血管性耳鸣通常被认为是客观性的且与脉搏同步。本报告涉及三例由脑膜动静脉瘘引起的血管性耳鸣病例。通过听诊，这三例病例均无法或仅很难被客观证实，其中一例否认有任何脉搏同步现象。本文回顾了血管性耳鸣的病理生理学，随后对脑膜动静脉瘘的发病机制、症状学及放射解剖学方面进行了更详细的讨论。最后，报告探讨了这些瘘的治疗方法。
