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Abstract
A case is reported of extreme objective tinnitus combined with headache, in which phonographic recording and carotid angiography was carried out. Arterio-venous fistulas between a. occipitalis as well as a. meningea media to the sinus transversus. Ligature of a. carotis ext. was carried out, resulting in the practical elimination of noise and headaches (result still holding 7 months after operation). In the discussion the significance of thorough and complete examination in severe cases of tinnitus is stressed.