DOI: 10.36347/sjmc8r.2018.v06i07.013

Pages: 483-485

Spontaneous arteriovenous fistula (AVF) of superficial temporal artery (STA) is a very rare condition. The pathogenesis is poorly understood. The treatment may be surgical by excision or endovascular by embolization. A man was referred to our department for a tender pulsatile and painless mass in the left temporal region. On physical examination a thrill was palpated. Imaging revealed the presence of an AVF between STA and temporal vein. A complete surgical excision was successfully realised. The pathogenesis of spontaneous AVF of STA is poorly understood, the common treatment was surgical excision, and however endovascular embolization may be a safe, efficient option in the future.