{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:39:48Z","timestamp":1747190388390,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Otolaryngology"],"published-print":{"date-parts":[[2020,8,4]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Pulsatile tinnitus is a relatively common presentation in otolaryngology clinics, most cases of which have a treatable cause. This presentation warrants a thorough workup to identify treatable, and rule out life-threatening, etiologies. We present a case of a patient with pulsatile tinnitus arising from multiple dilated venous channels in the head and neck.<jats:italic>Case Presentation.<\/jats:italic>We present the case of a 65-year-old Caucasian female with a two-year history of progressive, bilateral pulsatile tinnitus, which had become debilitating. Computed-tomographic angiography (CTA) studies ruled out an intracranial vascular cause for her symptoms. However, computed tomography (CT) scanning and magnetic resonance imaging (MRI) revealed multiple dilated bilateral, low-flow, venous channels throughout the head and neck. The proximity of such dilated venous channels to the temporal bone provides a route for sound to be transmitted to the inner ear.<jats:italic>Conclusion<\/jats:italic>. Arterial, venous, and systemic etiologies can cause pulsatile tinnitus. Arteriovenous malformations (AVMs) of the head and neck represent less than 1% of cases. In our patient, dilated low-flow venous malformations are the likely source of her symptoms, which is the first reported case in the literature.<\/jats:p>","DOI":"10.1155\/2020\/8867963","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T23:32:43Z","timestamp":1596583963000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Multiple Venous Malformations as a Cause of Pulsatile Tinnitus"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7921-0120","authenticated-orcid":true,"given":"Ayham","family":"Al Afif","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1585-5357","authenticated-orcid":true,"given":"Uthman","family":"Alamoudi","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Hail University, Hail, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7216-3018","authenticated-orcid":true,"given":"Ahmed A.","family":"Al-Sayed","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Dalhousie University, 1278 Tower Road, Queen Elizabeth II Health Sciences Centre, Dickson Building (3rd Floor), B3H 2Y9, Halifax, Nova Scotia, Canada"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manohar","family":"Bance","sequence":"additional","affiliation":[{"name":"University of Cambridge, Department of Clinical Neurosciences, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020400050052"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215106002714"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0025-7125(05)70094-8"},{"issue":"10","key":"4","doi-asserted-by":"crossref","first-page":"2516","DOI":"10.1002\/lary.23854","volume":"123","year":"2013","journal-title":"The Laryngoscope"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.091521"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2010.03.003"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2013.0451"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/s0887-2171(01)90010-1"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283493fd8.7"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.0014"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1148\/rg.331125052"}],"container-title":["Case Reports in Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criot\/2020\/8867963.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criot\/2020\/8867963.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criot\/2020\/8867963.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T08:24:12Z","timestamp":1696494252000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criot\/2020\/8867963\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,4]]},"references-count":11,"alternative-id":["8867963","8867963"],"URL":"https:\/\/doi.org\/10.1155\/2020\/8867963","relation":{},"ISSN":["2090-6765","2090-6773"],"issn-type":[{"type":"print","value":"2090-6765"},{"type":"electronic","value":"2090-6773"}],"subject":[],"published":{"date-parts":[[2020,8,4]]}}}