Department of Surgery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Department of Surgery, Shifa College of Medicine, Shifa Tameer E Millat University, Islamabad, Pakistan.
J Pak Med Assoc. 2022 Feb;72(2):360-362. doi: 10.47391/JPMA.2380.
Extra-cranial arteriovenous malformations of head and neck are rare and may present with acute haemorrhage. Their management varies and requires a multidisciplinary approach. Intra-arterial embolisation alone or followed by surgery is recommended. We present here a case of a huge pulsatile lesion extending from the neck to the temporo-parietal region with the main feeding vessel being the right external carotid artery. It was treated with surgical resection only as the feeding artery was very tortuous making selective embolization of artery impossible. The excision of the portion of the artery in the neck was carried out a week later. The patient recovered smoothly except for transient facial nerve palsy.
头颈部颅外动静脉畸形较为罕见,可表现为急性出血。其治疗方法各异,需要多学科共同参与。推荐采用单纯动脉内栓塞或联合手术治疗。本文报道 1 例起源于颈部、延伸至颞顶区的巨大搏动性病变,主要供血动脉为右侧颈外动脉。因供血动脉迂曲,无法行选择性动脉栓塞,故仅行手术切除。1 周后,进一步切除颈部的动脉部分。患者术后恢复顺利,仅出现一过性面神经瘫痪。