{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T23:23:46Z","timestamp":1707780226434},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:p>Tinnitus and vertigo are classic symptoms of inner ear disease. Dural arteriovenous fistulas (DAVF) are a rare type of acquired intracranial vascular malformation whose symptoms mimic inner ear disease, but what distinguishes it from other tinnitus is the characteristic of DAVF is pulsatile and heartbeat-synchronous. We present a 58-year-old male with chronic left-sided pulsatile tinnitus (PT) for 30 years and continuous vertigo for 3 years that took numerous consultations to establish a diagnosis after the onset of symptoms. Delay in diagnosis is caused by normal magnetic resonance imaging and an unrecognized subtle mass in the left temporal region by time-of-flight magnetic resonance angiography (TOF-MRA) at the screening test. As we know, TOF-MRA could not provide a clear picture to establish a slow-flow DAVF. Cerebral angiography, a gold standard diagnostic, revealed a Borden\/ Cognard Type I single slow-flow DAVF in the left temporal region. The patient was treated with superselective transarterial embolization. After 1 week of follow-up, the symptoms of vertigo and PT were completely resolved.<\/jats:p>","DOI":"10.25259\/jnrp_35_2022","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T09:34:49Z","timestamp":1671096889000},"page":"140-142","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Chronic pulsatile tinnitus and continuous vertigo due to very delayed diagnosis of single slow-flow dural arteriovenous"],"prefix":"10.25259","volume":"14","author":[{"given":"Galuh Puspa Ayu","family":"Wigansari","sequence":"first","affiliation":[{"name":"Department of Neurology, Universitas Airlangga \u2013 Dr. Soetomo General Hospital, Surabaya, Indonesia,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achmad Firdaus","family":"Sani","sequence":"additional","affiliation":[{"name":"Department of Neurology, Division of Neurointervention, Faculty of Medicine, Universitas Airlangga \u2013 Dr. Soetomo General Hospital, Surabaya, Indonesia,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dedy","family":"Kurniawan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Division of Neurointervention, Faculty of Medicine, Universitas Airlangga \u2013 Dr. Soetomo General Hospital, Surabaya, Indonesia,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fajar Rudy","family":"Qimindra","sequence":"additional","affiliation":[{"name":"Department of Neurology, Pertamina Hospital, Balikpapan, Indonesia,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,12,15]]},"reference":[{"key":"10.25259\/JNRP_35_2022\/ref-1","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1212\/CON.0000000000000961","article-title":"Tinnitus, hyperacusis, otalgia, and hearing loss","volume":"27","author":"Fife","year":"2021","journal-title":"Continuum (Minneap 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