Trauma-induced ascending pharyngeal artery-internal jugular vein fistula: case report.
BACKGROUND
Ascending pharyngeal artery-internal jugular vein fistulas are rare. Only 2 spontaneous cases and one complicated neck surgery have been reported. We describe a trauma-induced case.


METHODS
A 31-year-old man presented left-sided tinnitus and a pulsating bruit for 5 months after head trauma. Cerebral angiography demonstrated a fistula between the left ascending pharyngeal artery and left internal jugular vein. Embolization of the fistula was performed using platinum fibrous microcoils.


CONCLUSIONS
This case and a review of the literature illustrate the causes, manifestations, image studies, and treatment for a fistula between the ascending pharyngeal artery and internal jugular vein.
Liliang
Po-Chou
PC
Department of Neurosurgery,Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Kaohsiung, Taiwan.
Hsu
Shih-Wei
SW
Kuo
Yeh-Lin
YL
Lee
Tao-Chen
TC
D000063:Accidents, Traffic; D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D008297:Male; D010614:Pharynx / Q000098:blood supply* / Q000293:injuries*