An infiltrative angioarchitectural variant of arteriovenous malformation of temporalis

Aditi Amit Byatnal, Mahima Rakheja, Amit Raghavendra Byatnal, Venkadasalapathy Narayanaswamy, Raghu Radhakrishnan

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Vascular anomalies of the head and neck region pose a certain diagnostic and therapeutic paradox. Management of arteriovenous malformations (AVM) is a challenge owing to the presence of abnormal vascular communications and high recurrence. We report a case of a 19-year-old male patient, who presented with diffuse swelling in the right temporal region. Magnetic Resonance Angiography (MRA) suggested it to be an AVM in the temporalis muscle, having afferents in the ascending pharyngeal artery, with cavernous angioma. Surgical excision of the lesion was carried out under carotid control. Histopathology of the excised specimen utilizing special stains confirmed the presence of AVM. An absence of distinct nidus concomitant along with the exuberant proliferation of capillaries between the muscle fibres suggested it be an infiltrative angioarchitectural variant. The present case highlights significance of diagnosing AVM in temporalis muscle which is a rare occurrence in head and neck region. Also, the importance of ruling out other closely resembling vascular diathesis, both non neoplastic and malignant is discussed.

Original languageEnglish
Pages (from-to)ZD04-ZD06
JournalJournal of Clinical and Diagnostic Research
Volume8
Issue number9
DOIs
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Medicine(all)
  • Clinical Biochemistry

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