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Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report.
Elmore, Leslie R; Esper, Christopher; Gritsiuta, Andrei I; Lara-Gutierrez, Jorge; Downs, Patrick; Henwood, Jon.
Afiliación
  • Elmore LR; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Esper C; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Gritsiuta AI; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Lara-Gutierrez J; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Downs P; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Henwood J; Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Am J Case Rep ; 25: e942839, 2024 Mar 31.
Article en En | MEDLINE | ID: mdl-38555492
ABSTRACT
BACKGROUND An arteriovenous malformation (AVM) is an abnormal connection between an artery and a vein, bypassing the capillary network. An AVM of the superficial temporal artery (STA) can occur after trauma, iatrogenic injury, infection, or spontaneously. Spontaneous, or iatrogenic, presentations of STA AVM are thought to be rare, with very few reported cases. Symptoms include local pain, headache, tinnitus, or paresthesia, in addition to a palpable mass associated with thrill on palpation. Options for diagnosis include intra-arterial angiography, doppler ultrasound, magnetic resonance angiography (MRA), and computed tomography angiography (CTA). Current management options include surgical excision, ligation, and embolization; however, it is unknown which treatment is superior in terms of recurrence and which carries a lower risk of complications. CASE REPORT We present a case of a spontaneous STA AVM in a 76-year-old woman with past medical history significant for seasonal allergies and hyperlipidemia, who presented with pulsatile tinnitus and a palpable, tender mass located to the left temporal area. The mass had been present for several years, with gradual increase in size two to three years prior to presentation. She denied any history of trauma or procedure prior to presentation of the pulsatile mass. She underwent open excision with complete resolution of symptoms and no recurrence at 11-month follow-up. CONCLUSIONS AVM of the STA is a condition that can occur secondary to trauma, infection, iatrogenic injury, or spontaneously. Spontaneous, or iatrogenic, presentations of STA AVM are thought to be rare, with very few cases documented in the literature. Surgical treatment remains the standard of management, with options including surgical excision, ligation, or embolization.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas / Arterias Temporales Límite: Aged / Female / Humans Idioma: En Revista: Am J Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas / Arterias Temporales Límite: Aged / Female / Humans Idioma: En Revista: Am J Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos