Value of DSA in the diagnostic workup of pulsatile tinnitus.
OBJECTIVES:Pulsatile tinnitus (PT) is a rare complaint, but can be a symptom of life-threatening disease. It is often caused by vascular pathologies, e.g. dural arteriovenous fistula (dAVF), arteriovenous malformation (AVM) or vascularized tumors. The current diagnostic pathway includes clinical exa...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4331557?pdf=render |
| _version_ | 1818613675871698944 |
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| author | Cornelius Deuschl Sophia Göricke Carolin Gramsch Neriman Özkan Götz Lehnerdt Oliver Kastrup Adrian Ringelstein Isabel Wanke Michael Forsting Marc Schlamann |
| author_facet | Cornelius Deuschl Sophia Göricke Carolin Gramsch Neriman Özkan Götz Lehnerdt Oliver Kastrup Adrian Ringelstein Isabel Wanke Michael Forsting Marc Schlamann |
| author_sort | Cornelius Deuschl |
| collection | DOAJ |
| description | OBJECTIVES:Pulsatile tinnitus (PT) is a rare complaint, but can be a symptom of life-threatening disease. It is often caused by vascular pathologies, e.g. dural arteriovenous fistula (dAVF), arteriovenous malformation (AVM) or vascularized tumors. The current diagnostic pathway includes clinical examination, cranial MRI and additional DSA. The aim of this study was to evaluate the diagnostic impact of DSA in the diagnostic workup of patients with PT in comparison to MRI alone. METHODS:Retrospectively, 54 consecutive patients with pulsatile tinnitus were evaluated. All patients had a diagnostic workup including cranial MRI and DSA. MRI examinations were blinded to the results of DSA and retrospectively analyzed in consensus by two experienced neuroradiologists. The MR-examinations were evaluated for each performed sequence separately: time-of-flight-angiography, ce-MRA, T2, ce-T1-sequence and ce-T1-sequence with fat saturation. RESULTS:37 of the 54 patients revealed a pathology explaining PT on MRI, which was detected by the readers in 100% and proofed by means of DSA. 24 dAVF, four paraganglioma, two AVM and seven more pathologies were described. All patients without pathology on MRI did also not show any pathology in DSA. CONCLUSIONS:MR imaging is sufficient to exclude pathology in patients with pulsatile tinnitus. |
| first_indexed | 2024-12-16T16:05:54Z |
| format | Article |
| id | doaj.art-d9354471a9ab416585357124a8668fc3 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-16T16:05:54Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d9354471a9ab416585357124a8668fc32022-12-21T22:25:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01102e011781410.1371/journal.pone.0117814Value of DSA in the diagnostic workup of pulsatile tinnitus.Cornelius DeuschlSophia GörickeCarolin GramschNeriman ÖzkanGötz LehnerdtOliver KastrupAdrian RingelsteinIsabel WankeMichael ForstingMarc SchlamannOBJECTIVES:Pulsatile tinnitus (PT) is a rare complaint, but can be a symptom of life-threatening disease. It is often caused by vascular pathologies, e.g. dural arteriovenous fistula (dAVF), arteriovenous malformation (AVM) or vascularized tumors. The current diagnostic pathway includes clinical examination, cranial MRI and additional DSA. The aim of this study was to evaluate the diagnostic impact of DSA in the diagnostic workup of patients with PT in comparison to MRI alone. METHODS:Retrospectively, 54 consecutive patients with pulsatile tinnitus were evaluated. All patients had a diagnostic workup including cranial MRI and DSA. MRI examinations were blinded to the results of DSA and retrospectively analyzed in consensus by two experienced neuroradiologists. The MR-examinations were evaluated for each performed sequence separately: time-of-flight-angiography, ce-MRA, T2, ce-T1-sequence and ce-T1-sequence with fat saturation. RESULTS:37 of the 54 patients revealed a pathology explaining PT on MRI, which was detected by the readers in 100% and proofed by means of DSA. 24 dAVF, four paraganglioma, two AVM and seven more pathologies were described. All patients without pathology on MRI did also not show any pathology in DSA. CONCLUSIONS:MR imaging is sufficient to exclude pathology in patients with pulsatile tinnitus.http://europepmc.org/articles/PMC4331557?pdf=render |
| spellingShingle | Cornelius Deuschl Sophia Göricke Carolin Gramsch Neriman Özkan Götz Lehnerdt Oliver Kastrup Adrian Ringelstein Isabel Wanke Michael Forsting Marc Schlamann Value of DSA in the diagnostic workup of pulsatile tinnitus. PLoS ONE |
| title | Value of DSA in the diagnostic workup of pulsatile tinnitus. |
| title_full | Value of DSA in the diagnostic workup of pulsatile tinnitus. |
| title_fullStr | Value of DSA in the diagnostic workup of pulsatile tinnitus. |
| title_full_unstemmed | Value of DSA in the diagnostic workup of pulsatile tinnitus. |
| title_short | Value of DSA in the diagnostic workup of pulsatile tinnitus. |
| title_sort | value of dsa in the diagnostic workup of pulsatile tinnitus |
| url | http://europepmc.org/articles/PMC4331557?pdf=render |
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