[A Case of Arteriovenous Malformation of the Parotid Gland Associated with Cowden Disease].
No Shinkei Geka
; 45(4): 333-338, 2017 Apr.
Article
em Ja
| MEDLINE
| ID: mdl-28415058
ABSTRACT
We report a rare case of arteriovenous malformation(AVM)of the parotid gland associated with Cowden disease successfully treated with preoperative embolization followed by surgical removal. A 39-year-old man with a history of Cowden disease presented with a pulsating and growing mass on his left lower jaw. Contrast-enhanced computed tomography(CT)and angiography revealed a high-flow AVM in the deep lobe of the left parotid gland. After intravascular embolization of the feeding arteries, surgery was performed using the NIM-response®3.0, facial nerve monitoring system. The AVM was almost completely removed and the facial nerves were morphologically preserved. Interestingly, the intraoperative findings revealed that the enlarged vasa nervorum of the facial nerve also fed the AVM. Although left facial nerve palsy appeared after the surgery, the nerve function gradually improved over one year. No recurrence of the AVM has been observed for one year.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Glândula Parótida
/
Síndrome do Hamartoma Múltiplo
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Malformações Arteriovenosas Intracranianas
/
Nervo Facial
/
Recidiva Local de Neoplasia
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Adult
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Humans
/
Male
Idioma:
Ja
Ano de publicação:
2017
Tipo de documento:
Article