Meng-Chao Chen1, Wen-Yuh Chung, Chao-Bao Luo, Hsiu-Mei Wu. 1. Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, National Yang-Ming University, Taipei, Taiwan, Republic of China. neuronxx@gmail.com
Abstract
BACKGROUND: Pulsatile tinnitus is a unique symptom in the general population and often leads patients to medical attention. METHODS AND RESULTS: We report a patient who had an arteriovenous malformation of superficial temporal artery in the parotid region causing pulsatile tinnitus and insomnia. Magnetic resonance angiography and carotid angiography were useful tools for the detection of this vascular malformation. Successful treatment of this lesion was achieved by endovascular embolization. CONCLUSION: This case illustrates a thorough diagnostic work-up with a high index of suspicion and a proper treatment option is rewarding when dealing with such a rare disease. Copyright 2009 Wiley Periodicals, Inc.
BACKGROUND:Pulsatile tinnitus is a unique symptom in the general population and often leads patients to medical attention. METHODS AND RESULTS: We report a patient who had an arteriovenous malformation of superficial temporal artery in the parotid region causing pulsatile tinnitus and insomnia. Magnetic resonance angiography and carotid angiography were useful tools for the detection of this vascular malformation. Successful treatment of this lesion was achieved by endovascular embolization. CONCLUSION: This case illustrates a thorough diagnostic work-up with a high index of suspicion and a proper treatment option is rewarding when dealing with such a rare disease. Copyright 2009 Wiley Periodicals, Inc.