Rare presentation of an arteriovenous malformation within the internal auditory canal

While cerebral arteriovenous malformations (AVM) are common, a presentation of this vascular lesion involving the internal auditory canal (IAC) is rare. We describe a case of an un-ruptured AVM within the right IAC of a 55-year-old male who presented following a whiplash injury and left-ear (contral...

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Main Authors: Noor Sulieman, Gregory Basura
Format: Article
Language:English
Published: Elsevier 2018-03-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548817301455
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author Noor Sulieman
Gregory Basura
author_facet Noor Sulieman
Gregory Basura
author_sort Noor Sulieman
collection DOAJ
description While cerebral arteriovenous malformations (AVM) are common, a presentation of this vascular lesion involving the internal auditory canal (IAC) is rare. We describe a case of an un-ruptured AVM within the right IAC of a 55-year-old male who presented following a whiplash injury and left-ear (contralateral to the lesion) unilateral non-pulsatile tinnitus. On magnetic resonance imaging (MRI), an incidental atypical linear enhancement suspicious for a vascular lesion within the right IAC was identified and investigated further using magnetic resonance angiography and venography (MRA/MRV), which illustrated serpentine flow voids that confirmed the presence of an AVM. Given the patient's intact hearing and rare location of the AVM, treatment options including watchful waiting, stereotactic radiosurgery, embolization, and microsurgery were discussed, of which observation was chosen.
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spelling doaj.art-dd2b942caca948d0aa6713a9771a12aa2022-12-22T02:51:56ZengElsevierOtolaryngology Case Reports2468-54882018-03-016C101310.1016/j.xocr.2017.11.009Rare presentation of an arteriovenous malformation within the internal auditory canalNoor SuliemanGregory BasuraWhile cerebral arteriovenous malformations (AVM) are common, a presentation of this vascular lesion involving the internal auditory canal (IAC) is rare. We describe a case of an un-ruptured AVM within the right IAC of a 55-year-old male who presented following a whiplash injury and left-ear (contralateral to the lesion) unilateral non-pulsatile tinnitus. On magnetic resonance imaging (MRI), an incidental atypical linear enhancement suspicious for a vascular lesion within the right IAC was identified and investigated further using magnetic resonance angiography and venography (MRA/MRV), which illustrated serpentine flow voids that confirmed the presence of an AVM. Given the patient's intact hearing and rare location of the AVM, treatment options including watchful waiting, stereotactic radiosurgery, embolization, and microsurgery were discussed, of which observation was chosen.http://www.sciencedirect.com/science/article/pii/S2468548817301455Arteriovenous malformationEmbolizationInternal auditory canalStereotactic radiosurgery
spellingShingle Noor Sulieman
Gregory Basura
Rare presentation of an arteriovenous malformation within the internal auditory canal
Otolaryngology Case Reports
Arteriovenous malformation
Embolization
Internal auditory canal
Stereotactic radiosurgery
title Rare presentation of an arteriovenous malformation within the internal auditory canal
title_full Rare presentation of an arteriovenous malformation within the internal auditory canal
title_fullStr Rare presentation of an arteriovenous malformation within the internal auditory canal
title_full_unstemmed Rare presentation of an arteriovenous malformation within the internal auditory canal
title_short Rare presentation of an arteriovenous malformation within the internal auditory canal
title_sort rare presentation of an arteriovenous malformation within the internal auditory canal
topic Arteriovenous malformation
Embolization
Internal auditory canal
Stereotactic radiosurgery
url http://www.sciencedirect.com/science/article/pii/S2468548817301455
work_keys_str_mv AT noorsulieman rarepresentationofanarteriovenousmalformationwithintheinternalauditorycanal
AT gregorybasura rarepresentationofanarteriovenousmalformationwithintheinternalauditorycanal