Tisetso Morare Nolitha Makapi, Baloyi Eugene Richard Joweni
Department of Surgery, University of Witwatersrand, Johannesburg, South Africa.
Department of Surgery, Klerksdorp Tshepong Hospital Complex, Klerksdorp, South Africa.
J Vasc Surg Cases Innov Tech. 2020 Feb 12;6(1):50-54. doi: 10.1016/j.jvscit.2019.11.001. eCollection 2020 Mar.
An arteriovenous malformation is a rare vascular anomaly composed of a complex network of interconnected arteries and veins of the scalp. It is usually congenital, but infrequently occurs after trauma. Over the years, several terms have been used to describe these lesions, such as cirsoid/rasemose/arteriovenous aneurysm, plexiform angioma and aneurysma serpentinum, or arteriovenous fistula when a single connection exists. Head and neck malformations occur in 0.1% of the population. Involvement of the superficial temporal artery is rare, occurring in about 0.5% to 2.0% of cases. They are diagnosed by angiography and can be managed by endovascular or open resection. The case of a 23-year-old man who presented with a pulsatile head mass after blunt trauma 5 years prior is presented. This entity was diagnosed as an arteriovenous malformation supplied by the superficial temporal arteries. He subsequently underwent successful open exploration and resection. The information is presented with the patient's consent.
动静脉畸形是一种罕见的血管异常，由头皮内相互连接的动脉和静脉组成的复杂网络构成。它通常是先天性的，但很少在创伤后发生。多年来，有几个术语被用来描述这些病变，如蔓状/葡萄状/动静脉瘤、丛状血管瘤和蜿蜒状动脉瘤，或当存在单一连接时称为动静脉瘘。头颈部畸形在0.1%的人群中出现。颞浅动脉受累罕见，约占病例的0.5%至2.0%。它们通过血管造影诊断，可通过血管内或开放切除进行治疗。本文介绍了一名23岁男性的病例，他在5年前钝器伤后出现搏动性头部肿块。该病变被诊断为由颞浅动脉供血的动静脉畸形。他随后成功接受了开放探查和切除。本文信息经患者同意后提供。
