Dural Arteriovenous Fistula Misdiagnosed as Sensorineural Hearing Loss and Neck Arteriovenous Fistula
LIU Jing-chuan
TANG Zhi-wei
WANG Chong-qian
WANG Jin-kun
Abstract:Objective To improve the awareness and diagnostic capability of dural arteriovenous fistula (DAVF). Methods Clinical data of one misdiagnosed patient with DAVF was retrospectively analyzed. Results The patient visited a doctor for the right tinnitus for more than one year, and the patient had a traffic accident in the earlier time, but the patient suffered no injury at that time. The patient had continuous right tinnitus one year ago, and was misdiagnosed as having senso-rineural hearing loss in other hospitals. The symptom was aggravating after corresponding treatment, and the patient was misdi-agnosed as having neck arteriovenous fistula after the head CT angiography (CTA) examination in the same hospital. DAVF was confirmed by color Doppler examination and digital subtraction angiography after the patient was transferred to our hospi-tal. The patient was cured by the right DAVF fistula embolization under general anaesthesia, and there was no recurrence within 2 months of follow-up. Conclusion DAVF may have simple tinnitus or hearing loss in the primary stage, so clinicians and radiological physicians should increase awareness of the disease and perform related iconography examinations in order to avoid misdiagnosis and mistreatment.
Keywords:Arteriovenous fistulaIntracranial arteriovenous malformationsMisdiagnosisTinnitusHearing losssensorineural
Publication Date:2014-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 52-54 )
