Morales Angulo C, Rama J, Díez Lizuain M L, Quintana F, de Saro G
Servicio de ORL, Hospital Sierrallana, Torrelavega, Santander.
Acta Otorrinolaringol Esp. 1996 Nov-Dec;47(6):449-52.
Three cases of dural arteriovenous fistula (DAVF) in patients who consulted for pulsatile tinnitus are reported. All were treated successfully by embolization. If DAVF is suspected, angiography of the carotid and vertebral arteries should be performed to confirm its presence and to identify sources of blood flow and venous drainage. If treatment is needed, embolization, surgery, or radiotherapy may be indicated either separately or in combination therapy. The numerous branches and site of the fistula make therapeutic embolization the procedure of choice for many cases.
报告了3例因搏动性耳鸣就诊的硬脑膜动静脉瘘（DAVF）患者。所有患者均通过栓塞治疗成功治愈。如果怀疑患有DAVF，应进行颈动脉和椎动脉血管造影，以确认其存在，并确定血流来源和静脉引流情况。如果需要治疗，可单独或联合应用栓塞、手术或放射治疗。瘘管的众多分支和部位使治疗性栓塞成为许多病例的首选治疗方法。
