Spontaneous closure of dural arteriovenous fistulas (AVFs) has been reported. However, complete spontaneous obliteration of a jugular tubercle venous complex (JTVC)-centered intraosseous AVF appears to be rare. We report a case of a JTVC-centered intraosseous AVF that spontaneously occluded after diagnostic cerebral angiography....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiology clinical practice; this is a rare neurovascular case report with no direct implications for hearing or vestibular management.
Awareness of jugular region arteriovenous fistulas is marginally relevant to audiologists investigating pulsatile tinnitus, though this case's spontaneous closure finding is primarily of neurovascular interest.
- 01A jugular tubercle venous complex arteriovenous fistula (abnormal artery-vein connection near the skull base) closed spontaneously.
- 02Closure occurred following diagnostic cerebral angiography (an X-ray dye test of brain blood vessels) with no further intervention.
- 03This type of spontaneous obliteration is extremely uncommon for this fistula location.
- 04The case has a single venous drainage route, which may have facilitated spontaneous closure.
- 05Findings are relevant primarily to neurovascular and neuroradiology specialists.
A jugular tubercle venous complex arteriovenous fistula can close spontaneously following diagnostic cerebral angiography alone.
studypartially supported- PMID
- 42871923
- DOI
- 10.5797/jnet.cr.2026-0074.
- Journal
- Journal of Neuroendovascular Therapy
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with an intraosseous jugular tubercle venous complex arteriovenous fistula
- Intervention
- Diagnostic cerebral angiography (no endovascular treatment)
Primary outcomes
Spontaneous complete obliteration of arteriovenous fistula following diagnostic angiography