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An arteriovenous malformation within the internal acoustic meatus and cerebellopontine angle cistern

Published online by Cambridge University Press:  16 August 2011

P N Patel ,
S Connor ,
S Brew  and
M J Gleeson
P N Patel*
Affiliation:
Neuroradiology Department, King's College Hospital, London, UK
S Connor
Affiliation:
Neuroradiology Department, King's College Hospital, London, UK
S Brew
Affiliation:
Neuroradiology Department, National Hospital for Neurology and Neurosurgery, London, UK
M J Gleeson
Affiliation:
Otolaryngology Department, Guy's and St Thomas' Hospitals, London, UK
*
Address for correspondence: Dr P N Patel, Neuroradiology Department, King's College Hospital, Denmark Hill, London SE5 9RS, UK E-mail: [email protected]
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Abstract

Objectives:

We report a case of an arteriovenous malformation within the internal auditory meatus and cerebellopontine angle, and we discuss its imaging appearances and management.

Case report:

A 50-year-old man presented with a two-year history of vertigo. Magnetic resonance imaging and magnetic resonance angiography demonstrated a lesion consisting of multiple ‘high flow’ vessels within the left internal auditory meatus and cerebellopontine angle. Transarterial embolisation was performed, with obliteration of the arteriovenous malformation.

Conclusion:

Arteriovenous malformations of the internal auditory meatus and cerebellopontine angle are exceedingly rare. It is important that a pre-treatment diagnosis is made, as the management of arteriovenous malformation differs from that of other, more common lesions at this site.

Keywords

Intracranial Arteriovenous MalformationsInternal Auditory MeatusCerebellopontine Angle
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 12 , December 2011 , pp. 1275 - 1278
Copyright
Copyright © JLO (1984) Limited 2011

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References

1McGill, TJI, Mulliken, JB. Vascular anomalies of the head and neck. In: Cummings, CW, Fredrickson, JM, Harker, LA, Krause, CJ, Schuller, DE et al. , eds. Otolaryngology – Head Neck Surgery, edn 2. St Louis: Mosby Year Book, 1997;333–46Google Scholar
2Arnaout, OM, Gross, BA, Eddleman, CS, Bendok, BR, Getch, CC, Batjer, HH. Posterior fossa arteriovenous malformations. Neurosurg Focus 2009;26:E12CrossRefGoogle ScholarPubMed
3Sundaresan, N, Eller, T, Ciric, I. Hemangiomas of the internal auditory canal. Surg Neurol 1976;6:119–21Google ScholarPubMed
4Mahran, A, Samii, M, Penkert, G, Ostertag, H. Vascular lesions of the internal auditory canal. Skull Base Surg 1991;1:78–84CrossRefGoogle ScholarPubMed
5Brackmann, DE, Bartels, LJ. Rare tumors of the cerebellopontine angle. Otolaryngol Head Neck Surg 1980;88:555–9CrossRefGoogle ScholarPubMed
6Valavanis, A, Schubiger, O, Naidich, T. Clinical Imaging of the Cerebellopontine angle. Berlin: Springer-Velag, 1987;142–5CrossRefGoogle Scholar
7Aquilina, K, Nanra, JS, Brett, F, Walsh, RM, Rawluk, D. Cavernous angioma of the internal auditory canal. J Laryngol Otol 2004;118:368–71CrossRefGoogle ScholarPubMed
8Shim, HJ, Song, DK, Lee, SW, Lee, DY, Park, JH, Shin, JH et al. A case of unilateral sensorineural hearing loss caused by a venous malformation of the internal auditory canal. Int J Pediatr Otorhinolaryngol 2007;71:1479–83CrossRefGoogle ScholarPubMed
9Maya, MM, Lo, WWM, Kovanlikaya, I. Temporal bone tumors and cerebellopontine angle lesions. In: Som, P, Curtin, H, eds. Head and Neck Imaging, 4th edn. 2008;1293–306Google Scholar
10Pham, TH, Wong, BJ, Allison, G. A large arteriovenous malformation of the external ear in an adult: report of a case and approach to management. Laryngoscope 2001;111:1390–4CrossRefGoogle Scholar
11Kim, Y, Tanaka, A, Kimura, M, Yoshinaga, S, Tomonaga, M. Arteriovenous malformation in the cerebellopontine angle presenting as hemifacial spasm – case report. Neurol Med Chir 1991;31:109–12CrossRefGoogle ScholarPubMed
12Simon, SD, Yao, TL, Rosenbaum, BP, Reig, A, Mericle, RA. Resolution of trigeminal neuralgia after palliative embolization of a cerebellopontine angle arteriovenous malformation. Cen Eur Neurosurg 2009;70:161–3CrossRefGoogle ScholarPubMed
13Khaw, AV, Mohr, JP, Sciacca, RR, Schumacher, HC, Hartmann, A, Pile-Spellman, J et al. Association of infratentorial brain arteriovenous malformations with hemorrhage at initial presentation. Stroke 2004;35:660–3CrossRefGoogle ScholarPubMed
14Da Costa, L, Thines, L, Dehdashti, AR, Wallace, MC, Willinsky, RA, Tymianski, M et al. Management and clinical outcome of posterior fossa arteriovenous malformations: report on a single-centre 15-year experience. J Neurol Neurosurg Psychiatry 2009;80:376–9CrossRefGoogle ScholarPubMed
15Firsching, R, Huber, M, Frowein, RA. Cerebellar haemorrhage: management and prognosis. Neurosurg Rev 1991;14:191–4CrossRefGoogle ScholarPubMed
16Gobin, YP, Laurent, A, Merienne, L, Schlienger, M, Aymard, A, Houdart, E et al. Treatment of brain arteriovenous malformations by embolization and radiosurgery. J Neurosurg 1996;85:19–28CrossRefGoogle ScholarPubMed
17Jafar, JJ, Davis, AJ, Berenstein, A, Choi, IS, Kupersmith, MJ. The effect of embolization with N-butyl cyanoacrylate prior to surgical resection of cerebral arteriovenous malformations. J Neurosurg 1993;78:60–9CrossRefGoogle ScholarPubMed
18Mohr, JP. A randomized trial of unruptured brain arteriovenous malformations (ARUBA). Acta Neurochir Suppl 2008;103:3–4CrossRefGoogle ScholarPubMed
19Biondi, A, Le Jean, L, Capelle, L, Duffau, H, Marsault, C. Fatal hemorrhagic complication following endovascular treatment of a cerebral arteriovenous malformation. Case report and review of the literature. J Neuroradiol 2006;33:96–104CrossRefGoogle ScholarPubMed
20Jahan, R, Murayama, Y, Gobin, YP, Duckwiler, GR, Vinters, HV, Viñuela, F. Embolization of arteriovenous malformations with Onyx: clinicopathological experience in 23 patients. Neurosurgery 2001;48:984–95Google ScholarPubMed