Evidence map›Paper›PMID 40849398›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Dural arteriovenous fistula presenting as paradoxical contralateral pulsatile tinnitus due to contralateral otosclerosis-induced mixed hearing loss.

Yue-Lin Hsieh, Xu Liu, Jae-Jin Song, David J Eisenman, Wuqing Wang

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yue-Lin HsiehENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0002-1037-7659
Xu LiuENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-5177-9948
Jae-Jin SongDepartment of Otorhinolaryngology Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. jjsong96@gmail.com.ORCID http://orcid.org/0000-0002-6631-3232
David J EisenmanDepartment of Otorhinolaryngology- Head & Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, USA. DEisenman@som.umaryland.edu.ORCID http://orcid.org/0000-0002-8216-6535
Wuqing WangENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China. wwuqing@eent.shmu.edu.cn.ORCID http://orcid.org/0000-0002-7395-9525

Funding

National Research Foundation of Korea NRF-2022R1A2B5B02002139Science and Technology Innovation Plan Of Shanghai Science and Technology Commission 22Y11902200
6 · The paper itself

Abstract

objectivesThis study aims to present a rare case of unilateral pulsatile tinnitus (PT) induced by a contralateral dural arteriovenous fistula (DAVF) in a patient with ipsilateral otosclerosis-induced mixed hearing loss, highlighting the diagnostic challenges and management implications.

methodsA 71-year-old female presented with persistent right-sided PT and hearing loss. Clinical examination, audiological assessments, contrast-enhanced computed tomography, magnetic resonance (MR) angiography, hearing tests, and transcanal recording were performed.

resultsThe MR angiography revealed a left occipital artery-transverse sinus DAVF, contralateral to the subjective perception of right-sided PT. The average pure tone audiometry for the right ear showed air conduction/bone conduction thresholds of 80/48 dB, while the left ones were 26/20 dB. The subject declined all surgical interventions and opted for follow-up care by the first author.

conclusionsContralateral conductive hearing loss can obscure the true laterality of PT induced by DAVF. Clinicians should consider comprehensive imaging and objective assessments to accurately diagnose and manage vascular PT in patients with otosclerosis/conductive hearing loss. This report underscores the importance of a thorough otologic evaluation in patients with PT.

Indexed as

Central Nervous System Vascular MalformationsHearing Loss, Mixed Conductive-SensorineuralOtosclerosisTinnitusAgedAudiometry, Pure-ToneFemaleHumansMagnetic Resonance AngiographyTomography, X-Ray ComputedConductive hearing lossDural arteriovenous fistulaInternal jugular vein compressionLateralityOtosclerosisPulsatile tinnitus

Identifiers

PMID40849398

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.