Archives of oto-rhino-laryngology

, Volume 222, Issue 3, pp 229–234 | Cite as

Tinnitus caused by bilateral shunts from the occipital arteries to the intracranial veins

A case report
  • Magnus G. Lind
  • Per -G. Lundquist


A patient with objective tinnitus and a pulse synchronous murmur over both left and right sides of the mastoid regions is described. Microphones placed over the mastoid regions recording “phonomastoidograms” clearly demonstrated the pulse synchronous tinnitus. Arteriovenous shunts from the occipital arteries to the sigmoid sinus were later demonstrated with angiograms. After bilateral surgical removal of the arteriovenous shunts the incapacitating tinnitus disappeared. The importance of thorough examination of pulse synchronous tinnitus is discussed.

Key words

Objective tinnitus Tinnitus registration Arterio-venous shunts Occipital artery 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Arenberg, I. K., McCreary, H. S.: Objective tinnitus aurium and dural arteriovenous malformations of the posterior fossa. Ann. Otol. Rhinol. Laryngol. 80, 111–120 (1971)Google Scholar
  2. Fowler, E. P.: Head noises in normal and in disordered ears. Arch. Otolaryngol. 39, 498–503 (1944)Google Scholar
  3. Goodhill, V.: A tinnitus identification test. Ann. Otol. Rhinol. Laryngol. 61, 778 (1952)Google Scholar
  4. Hugosson, R., Bergström, K.: Surgical treatment of dural arteriovenous malformation in the region of sigmoid sinus. J. Neurol. Neurosurg. Psychiatry 37, 97–101 (1974)Google Scholar
  5. Newton, T. H., Greitz, T.: Arteriovenous communications between the occipital artery and the transverse sinus. Radiology 87, 824–828 (1969)Google Scholar
  6. Sexton, S.: The ear and its diseases. New York: William Wood and Co. 1888Google Scholar
  7. Stoll, W., Uhner, A.: Objective tinnitus caused by arteriovenous malformations in the region of transverse and sigmoid sinus. Laryngol. Rhinol. Otol. (Stuttg.) 54, 388–398 (1975)Google Scholar

Copyright information

© Springer-Verlag 1979

Authors and Affiliations

  • Magnus G. Lind
    • 1
  • Per -G. Lundquist
    • 1
  1. 1.Department of OtolaryngologyKarolinska HospitalStockholm 60Sweden

Personalised recommendations