各种类型的外伤性动静脉瘘虽较常见,但多发生于四肢,发生于头颈部较少见,而颅内外动静脉瘘则罕见,且难治。本文报告一例采用动脉栓塞后手术切除方法治疗颈外动脉系统一矢状窦瘘。患者李某,女,19岁。因额部肿块伴头痛、头昏1年余入我科。患者一年前发现额部正中有一蚕豆大小包块,当地医院手术治疗,伤口愈合良好,但肿块并未消失反而逐渐长大,伴头昏、胀痛,并时有癫痫发作。检查,额部正中有—5.5cm×4.5cm软性包块,可触及与心律一致的波动、震颤,闻及杂音。X 线头颅平片见 Although various types of traumatic arteriovenous fistula are more common, but occur in the limbs, occurred in the head and neck less common, while extracranial arteriovenous fistula is rare and refractory. This article reports a case of surgical resection of the external carotid artery after aortic embolization of a sagittal sinus fistula. Patient Lee, female, 19 years old. Due to forehead lumps with headache, dizziness, more than 1 year into my department. A year ago, the patient found that there was a mass of broad bean in the frontal forehead. Surgical treatment was performed in the local hospital and the wound healed well. However, the lump did not disappear but gradually grew up with dizziness, tenderness and epileptic seizures. Check, forehead in the middle of -5.5cm × 4.5cm soft mass, can reach the heartbeat consistent fluctuations, tremor, smell and noise. X-ray skull see