Chae S W, Kang H J, Lee H M, Hwang S J
Department of Otolarynology-Head and Neck Surgery, Korea University College of Medicine, Korea.
J Laryngol Otol. 2001 Apr;115(4):313-5. doi: 10.1258/0022215011907280.
A patient with an arteriovenous fistula that developed after a traffic accident was recently treated. The patient noticed pulsatile tinnitus in the right orbital region two months after the accident. On the first visit, the preliminary clinical impression of this case was a carotid-cavernous fistula, but angiography showed a fistula between the posterior auricular artery and the internal jugular vein. Although rare, this arteriovenous fistula should be included in the differential diagnosis of pusatile tinnitus in the orbit region. The fistula was controlled by embolization with a platinum coil. This is the first report of an arteriovenous fistula between the posterior auricular artery and internal jugular vein.
一名交通事故后出现动静脉瘘的患者近期接受了治疗。患者在事故发生两个月后注意到右眼眶区域出现搏动性耳鸣。初诊时，该病例的初步临床印象是颈内动脉海绵窦瘘，但血管造影显示为耳后动脉与颈内静脉之间的瘘。尽管这种动静脉瘘罕见，但在眼眶区域搏动性耳鸣的鉴别诊断中应考虑到。通过铂圈栓塞控制了该瘘。这是耳后动脉与颈内静脉之间动静脉瘘的首例报告。
