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**Arteriovenous malformations**, or AVMs, are abnormal connections between arteries and veins. Normally, blood flows from arteries to capillaries and then to veins. In an AVM, this typical flow is disrupted, and blood flows directly from arteries to veins, bypassing the capillaries. AVMs can occur in various parts of the body, including the brain and the blood vessels around the ears. When an AVM is located near the ear, the turbulent blood flow through the abnormal connection can create a rhythmic whooshing or drumbeat sound that is audible to the individual. AVMs can sometimes cause other symptoms, such as headaches, seizures, or neurological problems, depending on their location and size. If an AVM is suspected as the cause of pulsatile tinnitus, imaging tests like MRI or CT angiography may be used to confirm the diagnosis. Treatment options for AVMs vary depending on their characteristics and location and may include surgery, embolization (blocking the abnormal vessels), or stereotactic radiosurgery.
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