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After eight weeks, she developed left-sided ocular symptoms, progressing from conjunctival hyperaemia and orbital oedema to an abducens nerve palsy, and ultimately to heart failure.<\/jats:p><jats:p>The case and the final diagnosis of carotico-cavernous fistula are discussed. Guidelines are proposed for a diagnostic approach to pulsatile tinnitus and for the optimal management of patients presenting with pulsatile tinnitus associated with ocular symptoms.<\/jats:p>","DOI":"10.1017\/s0022215107005890","type":"journal-article","created":{"date-parts":[[2007,2,13]],"date-time":"2007-02-13T11:29:36Z","timestamp":1171366176000},"page":"1103-1107","source":"Crossref","is-referenced-by-count":16,"title":["Post-traumatic pulsatile tinnitus: the hallmark of a direct carotico-cavernous fistula"],"prefix":"10.1017","volume":"121","author":[{"given":"B","family":"Lerut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"De Vuyst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Ghekiere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Vanopdenbosch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Kuhweide","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,2,13]]},"reference":[{"key":"S0022215107005890_ref6","first-page":"775","article-title":"Doppler sonographic evaluation of shunts in patients with dural arteriovenous fistulas","volume":"25","author":"Schreiber","year":"2004","journal-title":"Am J Neuroradiol"},{"key":"S0022215107005890_ref1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.62.2.0248"},{"key":"S0022215107005890_ref14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra013395"},{"key":"S0022215107005890_ref7","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2005.24.6.739"},{"key":"S0022215107005890_ref2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1981.55.5.0678"},{"key":"S0022215107005890_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s004150050193"},{"key":"S0022215107005890_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100145086"},{"key":"S0022215107005890_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)76901-6"},{"key":"S0022215107005890_ref10","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.182.1.1727290"},{"key":"S0022215107005890_ref8","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.216.2.r00au45342"},{"key":"S0022215107005890_ref13","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.5.0804"},{"key":"S0022215107005890_ref12","doi-asserted-by":"publisher","DOI":"10.4065\/80.2.269"},{"key":"S0022215107005890_ref4","doi-asserted-by":"publisher","DOI":"10.1076\/orbi.22.2.121.14315"},{"key":"S0022215107005890_ref9","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2272012071"},{"key":"S0022215107005890_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00028"},{"key":"S0022215107005890_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(02)00169-X"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215107005890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T19:52:58Z","timestamp":1556740378000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215107005890\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2,13]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2007,11]]}},"alternative-id":["S0022215107005890"],"URL":"https:\/\/doi.org\/10.1017\/s0022215107005890","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,2,13]]}}}