VALIDITY OF CAROTID DUPLEX SONOGRAPHY IN SCREENING FOR INTRACRANIAL DURAL ARTERIOVENOUS FISTULA AMONG PATIENTS WITH PULSATILE TINNITUS

被引：6

作者：

Tsai, Li-Kai ^{[1
,2
,3
]}

Yeh, Shin-Joe ^{[1
,2
,3
]}

Tang, Sung-Chun ^{[1
,2
,3
]}

Hsieh, Yu-Lin ^{[1
,2
,3
]}

Chen, Ying-An ^{[1
,2
,3
]}

Liu, Hon-Man ^{[3
,4
]}

Jeng, Jiann-Shing ^{[1
,2
,3
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Neurol, Taipei 100, Taiwan

[2] Natl Taiwan Univ Hosp, Stroke Ctr, Taipei 100, Taiwan

[3] Natl Taiwan Univ, Coll Med, Taipei 10764, Taiwan

[4] Natl Taiwan Univ Hosp, Dept Radiol, Taipei 100, Taiwan

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2016年 / 42卷 / 02期

关键词：

Carotid duplex sonography; Dural arteriovenous fistula; Pulsatile tinnitus; Stroke; Screening; ARTERY STENOSIS; VENOUS DRAINAGE; DIAGNOSIS; DOPPLER; STROKE; CT; MR;

D O I：

10.1016/j.ultrasmedbio.2015.10.013

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Pulsatile tinnitus may result from intracranial dural arteriovenous fistula (DAVF), which requires early diagnosis and management. This study validated the role of carotid duplex sonography in screening for DAVF in patients with pulsatile tinnitus. The criteria used for DAVF screening were low resistance index of the external carotid artery or occipital artery (OA). Patients then underwent head magnetic resonance imaging to confirm the diagnosis. Of the 155 patients with pulsatile tinnitus who were prospectively screened, 25 (16.1%) had a low resistance index in either the external carotid artery or occipital artery. All were proven to have DAVF. The diagnostic sensitivity, specificity, positive predictive value and negative predictive value were 96%, 100%, 100% and 98%, respectively. Thus, carotid duplex sonography focusing on low resistance indexes of the external carotid and occipital arteries may be a valuable tool in screening for DAVF in patients with pulsatile tinnitus. (C) 2016 World Federation for Ultrasound in Medicine & Biology.

引用

页码：407 / 412

页数：6

共 24 条

[21] Screening of familial hypercholesterolemia among patients in age under 40 years old exposed by duplex scanning of carotid arteries, by the local registry data
Gaisenok, O., V
Kurnosov, P. A.
Leonov, A. S.
Zateyshchikov, D. A.
TERAPEVTICHESKII ARKHIV, 2018, 90 (09) : 37 - 41
[22] High prevalence of intracranial arterial stenosis among acute ischemic stroke patients in a Brazilian center: a transcranial color-coded duplex sonography study
Rocha, Leticia Januzi de Almeida
Zotin, Maria Clara Zanon
Santos, Renata da Silva Almeida
Libardi, Milena Carvalho
Camilo, Millene Rodrigues
Barreira, Clara Monteiro Antunes
Pinto, Pedro Telles Cougo
Mazim, Suleimy Cristina
Abud, Daniel Giansante
Neto, Octavio Marques Pontes
ARQUIVOS DE NEURO-PSIQUIATRIA, 2024, 82 (08) : 9 - 9
[23] The Relationships Among Transverse Sinus Stenosis Measured by CT Venography, Venous Trans-stenotic Pressure Gradient and Intracranial Pressure in Patients With Unilateral Venous Pulsatile Tinnitus
Qiu, Xiaoyu
Zhao, Pengfei
Li, Xiaoshuai
Ding, Heyu
Lv, Han
Zeng, Rong
Wang, Guopeng
Jin, Long
Yang, Zhenghan
Gong, Shusheng
Wang, Zhenchang
FRONTIERS IN NEUROSCIENCE, 2021, 15
[24] Eight-year follow-up after palliative embolization of a neonatal intracranial dural arteriovenous fistula with high-output heart failure management strategies for symptomatic fistula growth and bilateral femoral occlusions in pediatric patients
Reig, Adam S.
Simon, Scott D.
Nebleti, Wallace W., III
Mericle, Robert A.
JOURNAL OF NEUROSURGERY-PEDIATRICS, 2010, 6 (06) : 553 - 558

← 1 2 3 →