脑数字减影血管造影在评估搏动性耳鸣中的作用。
Role of cerebral digital subtraction angiography in the evaluation of pulse synchronous tinnitus.
作者信息
Lekovic Gregory P, Barnard Zachary R, Master Adam, Mehta Gautam U, Maya M Marcel, Wilkinson Eric P
机构信息
Division of Neurosurgery, House Institute, 2100 West 3rd Street, Los Angeles, CA, 90057, United States.
Department of Neurosurgery, Cedars-Sinai Medical Center, 127 S San Vicente Blvd, Los Angeles, CA, 90048, United States.
出版信息
J Otol. 2021 Oct;16(4):225-230. doi: 10.1016/j.joto.2021.03.002. Epub 2021 Apr 5.
OBJECTIVES
The aim of this study was to evaluate the value of digital subtraction angiography (DSA) in the diagnostic 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 possible vascular 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 six patients, and five patients had other significant vascular pathology identified on DSA. Seven patients with '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.
目的
本研究旨在评估数字减影血管造影（DSA）在诊断高度筛选出的搏动性耳鸣（PST）患者群体中的价值。
方法
我们回顾性分析了所有因搏动性耳鸣可能的血管病因前来评估的患者病历。对患者的症状表现、合并症、无创成像结果、血管造影结果及预后进行了评估。
结果
15例患者接受了脑部DSA检查。6例患者被诊断为硬脑膜动静脉瘘（dAVF），5例患者在DSA检查中发现了其他重要的血管病变。7例无创成像结果为“阴性”的患者在DSA检查中发现了明显病变。
结论
对于经适当筛选的搏动性耳鸣患者，导管血管造影可能有显著的诊断价值。
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