Gokce Emre Cemal, Cemil Berker, Kirbas Ismail, Bozkurt Alper, Erdogan Bulent
Turgut Ozal University, Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey.
Turk Neurosurg. 2013;23(6):811-4. doi: 10.5137/1019-5149.JTN.6163-12.2.
Primary intraosseous arteriovenous malformations (AVM) are not infrequently encountered. We report a case of intraosseous arteriovenous malformation arising in the left temporal bone. A 51-year-old male patient presented with loss of conscious. Computerized tomography displayed hematoma measuring 4 cm in diameter in the left temporal lobe. Digital subtraction angiography (DSA) showed that a temporal bone AVM supplied by all the branches of the external carotid artery and vertebral artery. Many treatment modalities can be considered for preoperative steps and/or for definitive treatment. We preferred embolisation for this vascular pathology. To the best of our knowledge this represents the first case of an intraosseous arteriovenous malformation located in the temporal bone.
原发性骨内动静脉畸形(AVM)并不罕见。我们报告一例发生在左侧颞骨的骨内动静脉畸形病例。一名51岁男性患者出现意识丧失。计算机断层扫描显示左侧颞叶有一个直径4厘米的血肿。数字减影血管造影(DSA)显示颞骨AVM由颈外动脉和椎动脉的所有分支供血。术前步骤和/或确定性治疗可考虑多种治疗方式。对于这种血管病变,我们更倾向于栓塞治疗。据我们所知,这是首例位于颞骨的骨内动静脉畸形病例。