Transvenous embolization of a posterior condylar canal fistula causing pulsatile tinnitus

Waleed Brinjikji, Giuseppe Lanzino, Harry J. Cloft

Research output: Contribution to journalArticlepeer-review


Dural arteriovenous fistulas of the skull base commonly present with pulsatile tinnitus. In our experience, transvenous embolization of dural arteriovenous fistulas of the skull base represents a safe and effective treatment modality due to its precision in treatment of the site of convergence of all feeding arteries and the low risk of ischemic complications. We present a case of an adult patient who presented to our institution with pulsatile tinnitus several months following a motor vehicle accident. Cerebral angiography demonstrated a dural arteriovenous fistula at the junction of the posterior condylar vein and suboccipital venous plexus supplied by branches of the vertebral artery, occipital artery, and ascending pharyngeal artery. In this operative video we demonstrate this technique and provide an in-depth discussion of our treatment decision-making process and the anatomical considerations involved in treating this lesion.

Original languageEnglish (US)
Pages (from-to)680
Number of pages1
JournalJournal of neurointerventional surgery
Issue number7
StatePublished - Jul 1 2021


  • angiography
  • fistula
  • intervention
  • technique
  • vein

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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