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Embolisation of an extensive arteriovenous malformation of the temporal region as an alternate treatment: case report

Published online by Cambridge University Press:  08 March 2017

S Aslan ,
H Yavuz ,
A C Cagici  and
O Kizilkilic
S Aslan*
Affiliation:
Department of Otorhinolaryngology, Baskent University, Ankara, Turkey
H Yavuz
Affiliation:
Department of Otorhinolaryngology, Baskent University, Ankara, Turkey
A C Cagici
Affiliation:
Department of Otorhinolaryngology, Baskent University, Ankara, Turkey
O Kizilkilic
Affiliation:
Radiology, Faculty of Medicine, Baskent University, Ankara, Turkey
*
Address for correspondence: Dr Sundus Aslan, Cemalpasa Mh 10 Sk, Elife Hn Apt no 8/10, 01140 Seyhan-Adana, Turkey. Fax: +90 312 447 22 73 E-mail: drsundus@hotmail.com
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Abstract

Objectives:

To report the case of a spontaneous arteriovenous malformation involving the auricula, external auditory meatus, middle ear and part of the petrous apex, and also to provide updated information about its management.

Case report:

A 33-year-old woman presented complaining of accelerated growth of a retro-auricular swelling during her latest pregnancy, together with pain, pulsatile tinnitus and ear discharge. An arteriovenous malformation occupying the right auricula, external auditory canal, mastoid proccess of the temporal bone and the lateral half of the petrous segment was diagnosed, using temporal computerised tomography and magnetic resonance imaging. The lesion was embolised with polyvinyl alcohol particles at angiography. Excision of the arteriovenous malformation nidus was performed. Three years post-operatively, magnetic resonance imaging showed no residual lesion or recurrence at the temporal bone and petrous apex, although a few scanty, serpiginous, vascular remnants had persisted.

Conclusions:

In the head and neck, arteriovenous malformations usually occur intracranially; they are rare outside the cranium. To our knowledge, there have been no previously published cases of such an extensive arteriovenous malformation involving the temporal region. Apropos of our case, the definition, clinical findings, diagnostic approaches and therapeutic management of arteriovenous malformations are discussed.

Keywords

Temporal BoneArteriovenous MalformationEmbolisation
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 7 , July 2008 , pp. 737 - 740
Copyright
Copyright © JLO (1984) Limited 2008

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