AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

Pigmented Villonodular Synovitis of the Temporomandibular Joint: Diagnostic Imaging and Endovascular Therapeutic Embolization of a Rare Head and Neck Tumor

Joshua A. Bemporada, John C. Chaloupka,a, Christopher M. Putmana, Toni C. Rotha, John Tarroa, Sanchayeeta Mitraa, John H. Sinarda and Clarence T. Sasakia

a From the Interventional Neuroradiology Service, Department of Diagnostic Radiology (J.A.B., J.C.C., C.M.P., T.C.R.); the Section of Neurosurgery, Department of Surgery (J.C.C.); the Section of Otolaryngology, Department of Surgery (S.M., J.T., C.T.S.); and the Department of Pathology (J.H.S.), Yale University School of Medicine, New Haven, CT.

Summary: We report a case of pigmented villonodular synovitis involving the temporomandibular joint that presented as a rapidly growing tumor with extension through the skull base into the middle cranial fossa. The case is of interest not only because of the unusual extensive infiltration of this tumor but also because of the role modern diagnostic imaging and endovascular therapeutic techniques played in its diagnosis and management.