Dural arteriovenous fistula — the rare cause of a pulsating noise in the ear

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Abstract

The article describes the clinical manifestations of dural arteriovenous fistula, which is an abnormal communication between the arteries of the dura mater and venous sinuses or cortical veins. The information on the etiology and pathogenesis of such a malformation in the domestic literature is limited to a few publications. The diagnosis is based on the identification of visual (pulsation of the earlobe) and acoustic phenomena in the patient, as well as the presence of a shunt between the posterior auricular artery (a branch of the external carotid artery) and the dural venous sinuses revealed by neuroimaging, in particular MR angiography. The best treatment method is a neurosurgical intervention using endovascular surgery.

About the authors

Anastasia V. Belopasova

Research Center of Neurology

Author for correspondence.
Email: belopasova@neurology.ru
ORCID iD: 0000-0003-3124-2443
SPIN-code: 3149-3053

MD, PhD

Russian Federation, Moscow

Albert S. Kadykov

Research Center of Neurology

Email: kadykov@neurology.ru
ORCID iD: 0000-0001-7491-7215
SPIN-code: 5228-5665

MD, PhD, Professor

Russian Federation, Moscow

Vladimir V. Belopasov

Astrakhan State Medical University

Email: belopasov@yandex.ru
ORCID iD: 0000-0003-0458-0703
SPIN-code: 6089-1321

MD, PhD, Professor

Russian Federation, Astrakhan

Andrey O. Chechetkin

Research Center of Neurology

Email: chechetkin@neurology.ru
ORCID iD: 0000-0002-8726-8928
SPIN-code: 9394-6995

MD, PhD

Russian Federation, Moscow

Rodion N. Konovalov

Research Center of Neurology

Email: konovalov@neurology.ru
ORCID iD: 0000-0001-5539-245X

MD, PhD

Russian Federation, Moscow

Ksenia V. Krupnova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: ksen.krupnova@yandex.ru
ORCID iD: 0000-0003-1579-7510
Russian Federation, Moscow

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Copyright (c) 2020 Belopasova A.V., Kadykov A.S., Belopasov V.V., Chechetkin A.O., Konovalov R.N., Krupnova K.V.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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