Cirsoid Aneurysm of the Scalp: A Case Report
Abstract Cirsoid aneurysms (arteriovenous malformations [AVMs]) of the scalp are rarely encountered in neurosurgical practice. Patients with AVM of the scalp present clinically at times with headache and a small innocuous-looking subcutaneous scalp lump or a large, pulsatile mass with or without bru...
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doaj-4c5e31ad8a1548f6b5333f7d4f07b1882020-11-25T03:11:00ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672016-06-01050212913210.1055/s-0036-1581974Cirsoid Aneurysm of the Scalp: A Case ReportMayur Vinod Barhate0Sanjay Shantilal Vhora1Rohit Kumar Pandey2Department of General Surgery, B.J. Medical College and Sassoon General Hospital, Pune, IndiaDepartment of Neurosurgery, B.J. Medical College and Sassoon General Hospital, Pune, IndiaDepartment of General Surgery, B.J. Medical College and Sassoon General Hospital, Pune, IndiaAbstract Cirsoid aneurysms (arteriovenous malformations [AVMs]) of the scalp are rarely encountered in neurosurgical practice. Patients with AVM of the scalp present clinically at times with headache and a small innocuous-looking subcutaneous scalp lump or a large, pulsatile mass with or without bruit, which has a propensity to massive hemorrhage. Complex vascular anatomy and interconnections, high shunt flow, and possible cosmetic complications tend to make their management difficult. We report a rare case of young man who presented with progressively enlarging swelling over left fronto-temporo-parietal and occipital region of the scalp since 8 years. Digital subtraction angiography of internal and external carotid vessels revealed high-flow, complex left parietal scalp AVM supplied by multiple tortuous feeders from left superficial temporal artery (STA), left middle meningeal artery, left occipital artery with collateral supply from right occipital artery, and right STA. Drainage into external jugular vein through multiple tortuous frontal, temporal, and occipital scalp veins with venous varix. Being high-flow shunt and because of suspected cosmetic complications, surgical excision was considered.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1581974arteriovenous malformationcirsoid aneurysmscalp |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mayur Vinod Barhate Sanjay Shantilal Vhora Rohit Kumar Pandey |
spellingShingle |
Mayur Vinod Barhate Sanjay Shantilal Vhora Rohit Kumar Pandey Cirsoid Aneurysm of the Scalp: A Case Report Indian Journal of Neurosurgery arteriovenous malformation cirsoid aneurysm scalp |
author_facet |
Mayur Vinod Barhate Sanjay Shantilal Vhora Rohit Kumar Pandey |
author_sort |
Mayur Vinod Barhate |
title |
Cirsoid Aneurysm of the Scalp: A Case Report |
title_short |
Cirsoid Aneurysm of the Scalp: A Case Report |
title_full |
Cirsoid Aneurysm of the Scalp: A Case Report |
title_fullStr |
Cirsoid Aneurysm of the Scalp: A Case Report |
title_full_unstemmed |
Cirsoid Aneurysm of the Scalp: A Case Report |
title_sort |
cirsoid aneurysm of the scalp: a case report |
publisher |
Thieme Medical Publishers, Inc. |
series |
Indian Journal of Neurosurgery |
issn |
2277-954X 2277-9167 |
publishDate |
2016-06-01 |
description |
Abstract
Cirsoid aneurysms (arteriovenous malformations [AVMs]) of the scalp are rarely encountered in neurosurgical practice. Patients with AVM of the scalp present clinically at times with headache and a small innocuous-looking subcutaneous scalp lump or a large, pulsatile mass with or without bruit, which has a propensity to massive hemorrhage. Complex vascular anatomy and interconnections, high shunt flow, and possible cosmetic complications tend to make their management difficult. We report a rare case of young man who presented with progressively enlarging swelling over left fronto-temporo-parietal and occipital region of the scalp since 8 years. Digital subtraction angiography of internal and external carotid vessels revealed high-flow, complex left parietal scalp AVM supplied by multiple tortuous feeders from left superficial temporal artery (STA), left middle meningeal artery, left occipital artery with collateral supply from right occipital artery, and right STA. Drainage into external jugular vein through multiple tortuous frontal, temporal, and occipital scalp veins with venous varix. Being high-flow shunt and because of suspected cosmetic complications, surgical excision was considered. |
topic |
arteriovenous malformation cirsoid aneurysm scalp |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1581974 |
work_keys_str_mv |
AT mayurvinodbarhate cirsoidaneurysmofthescalpacasereport AT sanjayshantilalvhora cirsoidaneurysmofthescalpacasereport AT rohitkumarpandey cirsoidaneurysmofthescalpacasereport |
_version_ |
1724655819956420608 |