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Suggest Remedy For Pain Behind Ear With Tinnitus After Treating Fistula
Question: I had surgery for a dural av fistula.It was on right side behind ear. a very subtle pulsatile tinnitus has returned, I get bad pain behind my ear where the fistula was and my right eye has started to twitch at tmes.
Going for a contrast MRA on Wednesday,just want to know what I am up against so I can handle the diagnosis if it is bad
Going for a contrast MRA on Wednesday,just want to know what I am up against so I can handle the diagnosis if it is bad
Brief Answer:
Probably recurrence of fistula.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Onyx embolisation is the first line treatment for dural arteriovenous fistulas with a success rate approximately 85 %.
All your symptoms (headaches, tinnitus and visual disturbances) are caused by fistula or complications, so, since there is recurrence of symptoms, most probably embolisation failed to occlude the fistula.
Other rare complications after liquid embolisation with Onyx of a fistula include hemorrhage.
The situation will be clear after MRI/MRA imaging.
If recurrence of fistula will be diagnosed, or any complications, in my opinion, surgery (craniotomy) should be the next step in treatment.
In conclusion, you are facing probably recurrence of fistula, or,less likely any complication, it is a treatable condition, so, patience.
Hope you found the answer helpful. Let me know if I can assist you further.
Wishing you good health.
Probably recurrence of fistula.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Onyx embolisation is the first line treatment for dural arteriovenous fistulas with a success rate approximately 85 %.
All your symptoms (headaches, tinnitus and visual disturbances) are caused by fistula or complications, so, since there is recurrence of symptoms, most probably embolisation failed to occlude the fistula.
Other rare complications after liquid embolisation with Onyx of a fistula include hemorrhage.
The situation will be clear after MRI/MRA imaging.
If recurrence of fistula will be diagnosed, or any complications, in my opinion, surgery (craniotomy) should be the next step in treatment.
In conclusion, you are facing probably recurrence of fistula, or,less likely any complication, it is a treatable condition, so, patience.
Hope you found the answer helpful. Let me know if I can assist you further.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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