Pulsatile tinnitus and dural arteriovenous fistula of the transverse sinus.

A case of dural arteriovenous fistula of the transverse and sigmoid sinus presenting with a pulsatile tinnitus is described. On the basis of this demonstrative case, we review the clinical presentation, pathogenesis, diagnostic imaging and principles of treatment of this disease. Emphasis is put on the importance of careful diagnostic evaluation because of potential cerebrovascular complications associated with dural fistulas.