A 32-year-old female developed a bruit, determined to arise from a rare direct arteriovenous (AV) fistula from the ascending pharyngeal artery to the internal jugular vein.
The fistula was treated by transarterial silicone balloon occlusion, with occlusion of fistulous flow, ablation of symptoms, and excellent long-term result.
GuglielmiGGuidettiGMoriSSilipoP: Therapeutic embolization of an ascending pharyngeal artery-internal jugular vein fistula. Neuroradiology69: 132–133, 1988.
3.
BerensteinAScottJChoiISPerskyM: Percutaneous embolization of arteriovenous fistulas of the external carotid artery. Am J Neuroradiol5: 937–942, 1986.
4.
TakahashiMGitoYKowadaM: Arteriovenous fistula between the ascending pharyngeal artery and the sigmoid sinus. Report of a case with spontaneous regression. Neuroradiology7: 245–248, 1974.
5.
Hacein-BeyLDanielsDL: The ascending pharyngeal artery: Branches, anastomoses, and clinical significance. Am J Neuroradiol23: 1246–1256, 2002.
6.
HoriuchiMKamoT: An adult case of congenital external carotid-jugular arteriovenous fistula with reversible circulatory insufficiency in the cerebellum and lower brainstem. Am J Neuroradiol22: 273–276, 2001.
7.
HenneMMoranoJURussellWF: Intermittent occlusion of internal carotid artery by hypoglossal nerve. Am J Neuroradiol9: 791–793, 1988.
8.
KallmesDFCloftHJ: The use of hydrocoil for parent artery occlusion. Am J Neuroradiol25: 1409–1410, 2004.
9.
LaytonKFNelsonMDKallesDF: Transarterial embolization of the venous component of aggressive type4 dural arteriovenous fistulas. Am J Neuroradiol27: 750–752, 2006.
