Vascular loop in the cerebellopontine angle causing pulsatile tinnitus and headache: A case report

N. A. Ramly, Abdul Rahman Roslenda, A. Suray, Asma Abdullah

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Tinnitus is a common disorder, it can be classified as pulsatile and non-pulsatile or objective and subjective. Pulsatile tinnitus is less common than non-pulsatile and can be due to vascular tumour such as glomus or vascular abnormality. We presented an interesting case of a 30 year-old Malay lady with a two-year history of pulsatile tinnitus which was worsening in three months duration. It was associated with intermittent headache. Clinical examination and tuning fork test were unremarkable. Apart from mild hearing loss at high frequency on the left ear, the pure tone audiogram (PTA) was otherwise normal. In view of the patient's young age with no risk factor for high frequency loss, a magnetic resonance imaging (MRI) was performed to look for any abnormality in the cerebellopontine angle. It revealed a single vessel looping around the left vestibulocochlear and facial nerves at the cisternal portion, likely a branch of the anteroinferior cerebellar artery (AICA). Literature review on the pathophysiology and treatment option in this condition is discussed.

Original languageEnglish
Pages (from-to)192-196
Number of pages5
JournalEXCLI Journal
Volume13
Publication statusPublished - 27 Feb 2014

Fingerprint

Cerebellopontine Angle
headache
Tinnitus
blood vessels
Blood Vessels
Headache
case studies
Glomus
hearing
pathophysiology
Vestibulocochlear Nerve
High-Frequency Hearing Loss
magnetic resonance imaging
clinical examination
arteries
ears
nerve tissue
risk factors
Facial Nerve
neoplasms

Keywords

  • Hearing loss
  • Magnetic resonance imaging
  • Tinnitus
  • Vestibulocochlear

ASJC Scopus subject areas

  • Molecular Medicine
  • Pharmacology
  • Drug Discovery
  • Animal Science and Zoology

Cite this

Vascular loop in the cerebellopontine angle causing pulsatile tinnitus and headache : A case report. / Ramly, N. A.; Roslenda, Abdul Rahman; Suray, A.; Abdullah, Asma.

In: EXCLI Journal, Vol. 13, 27.02.2014, p. 192-196.

Research output: Contribution to journalArticle

Ramly, N. A. ; Roslenda, Abdul Rahman ; Suray, A. ; Abdullah, Asma. / Vascular loop in the cerebellopontine angle causing pulsatile tinnitus and headache : A case report. In: EXCLI Journal. 2014 ; Vol. 13. pp. 192-196.
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