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Arterial, venous, and systemic etiologies could cause pulsatile tinnitus. Arteriovenous malformations (AVMs) of the mind and neck represent significantly less than 1% of situations. In our patient, dilated low-flow venous malformations will be the likely way to obtain her signs, that will be the first reported case in the literature.Arterial, venous, and systemic etiologies can cause pulsatile t