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Transarterial embolization of an internal maxillary artery AVF presenting with pulsatile tinnitus

Waleed Brinjikji, MD, Harry J. Cloft, MD, Giuseppe Lanzino, MD, Leonardo Rangel-Castilla, MD, and Pearse P. Morris, MD

Departments of Neurosurgery and Radiology, Mayo Clinic, Rochester, Minnesota

Arteriovenous fistulae of the interior maxillary artery are exceedingly uncommon, with lower than 30 circumstances reported within the literature. Most of those lesions are congenital, iatrogenic, or posttraumatic. The commonest presentation of inner maxillary artery fistulae is pulsatile tinnitus and headache. As a result of these lesions are single-hole fistulae, they are often simply cured with endovascular methods. The authors current a case of a affected person who introduced to their establishment with a several-year historical past of pulsatile tinnitus who was discovered to have an inner maxillary artery arteriovenous fistula, which was handled endovascularly with transarterial coil and Onyx embolization.


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