Arteriovenous fistula of superficial temporal vessels

• Autorzy: Biegaj E. , Rutkowska-Zimirska J. , Radzyminska-Maliszewska M. , Zaremba A. , Pniewski J.
• Języki publikacji: EN

Abstrakty

EN

We present a case of patient with a rare vessel pathology — arteriovenous fistula (AVF) of superficial temporal artery and vein. The 56-year-old man was admitted to the Department of Neurology because of a headache in the right temporal region with concomitant buzzing sound in his right ear. The pain was present mainly in the evenings and was stronger when touching the temporal region. He denied having any head injury in the last few years. There were no signs of central nervous system involvement in the neurological examination. Within the right temporal area a subcutaneous mass with redness of the surrounding skin and with palpable and audible pulsatile thrill was observed. In computed tomography (CT) of the head no abnormalities were found. In duplex-Doppler ultrasound examination of carotid arteries the systolic blood velocity in the right external carotid artery was over two times higher than in the left one. Its flow profile was turbulent and low-resistant. In CT angiography (CTA) an AVF between superficial temporal artery and vein was revealed — it was located at the level of the right zygomatic arch. In both CTA and magnetic resonance angiography, no abnormal connections between extra- and intracranial vessels were found. The patient underwent surgery with good result — all the symptoms disappeared. AVFs of vessels of the scalp are rare and their aetiology is mainly traumatic or iatrogenic. By describing this case we wanted to draw attention to less frequent causes of headache. (Folia Morphol 2019; 78, 4: 879–882)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2019
• Tom: 78
• Numer: 4
• Opis fizyczny: p.879-882,fig.,ref.

Twórcy

autor

Biegaj E.

• Department of Neurology, Czerniakowski Hospital, Warsaw, Poland

autor

Rutkowska-Zimirska J.

• Department of Neurology, Czerniakowski Hospital, Warsaw, Poland

autor

Radzyminska-Maliszewska M.

• Department of Neurology, Czerniakowski Hospital, Warsaw, Poland

autor

Zaremba A.

• Department of General and Oncological Surgery, Mazovian Specialist Hospital, Radom, Poland

autor

Pniewski J.

• Department of Neurology, Czerniakowski Hospital, Warsaw, Poland

Bibliografia

• 1. Bret J, Kunc Z. Fistula between three main cerebral arteries and a large occipital vein. J Neurol Neurosurg Psychiatry. 1969; 32(4): 308–312, doi: 10.1136/jnnp.32.4.308, indexed in Pubmed: 5807870.
• 2. Júnior OC, Abreu M, Abreu G, et al. Traumatic arteriovenous fistula of the superficial temporal artery. J Vasc Brasil. 2014; 13(1): 39–42, doi: 10.1590/jvb.2014.008.
• 3. Feng Li, Shugan Z, Yuguang L, et al. Traumatic arteriovenous fistula of the superficial temporal artery. J Clin Neurosci. 2007; 14(6): 595–600, doi: 10.1016/j.jocn.2006.04.011, indexed in Pubmed: 17379525.
• 4. Khodadad G. Arteriovenous malformations of the scalp. Ann Surg. 1973; 177(1): 79–85, doi: 10.1097/00000658-197301000-00015.
• 5. Ki HJ, Lee HK, Hur JW, et al. Post-Traumatic arteriovenous fistula of the scalp. J Korean Neurosurg Soc. 2015; 58(3): 298–300, doi: 10.3340/jkns.2015.58.3.298, indexed in Pubmed: 26539278.
• 6. Komatsu Y, Narushima K, Kobayashi E, et al. Congenital arteriovenous malformation of the scalp--case report. Neurol Med Chir (Tokyo). 1989; 29(3): 230–234, doi: 10.2176/nmc.29.230, indexed in Pubmed: 2477728.
• 7. Komiyama M, Nishikawa M, Kitano S, et al. Non-traumatic arteriovenous fistulas of the scalp treated by a combination of embolization and surgical removal. Neurol Med Chir (Tokyo). 1996; 36(3): 162–165, doi: 10.2176/nmc.36.162, indexed in Pubmed: 8869152.
• 8. Mehmet S, Alptekin Y, Mustafa G, et al. Nontraumatic scalp arteriovenous fistula in an adult: technical report on an illustrative case. Surg Neurol. 2008; 70(2): 194–197, doi: 10.1016/j.surneu.2007.04.018, indexed in Pubmed: 18291475.
• 9. Miekisiak G, Mis M, Sandler A, et al. Iatrogenic arteriovenous fistula of the superficial temporal artery. Oral Maxillofac Surg. 2008; 12(4): 219–221, doi: 10.1007/s10006-008-0133-5, indexed in Pubmed: 18813963.
• 10. Morandi X, Godey B, Riffaud L, et al. Nontraumatic arteriovenous fistula of the superficial temporal artery. Otolaryngol Head Neck Surg. 2001; 124(5): 588–589, doi: 10.1067/mhn.2001.115088, indexed in Pubmed: 11337672.
• 11. Teng TY, Yun-Yu L, Ulf S, et al. Pulsatile tinnitus in a case of traumatic temporal extradural arteriovenous fistula: carotid duplex sonography findings before and after embolization. J Clin Ultrasound. 2008; 36(7): 432–436, doi: 10.1002/jcu.20505, indexed in Pubmed: 18561342.

Identyfikatory

DOI

10.5603/FM.a2019.0016