Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature
Background: Arteriovenous malformation of the scalp (sAVM) is a rare pathology that accounts for 8% of all cranial arteriovenous malformations. It is believed to be congenital; however, few reported were secondary to trauma. They are managed either via surgical resection, endovascular embolization,...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751921003431 |
| _version_ | 1818342562057945088 |
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| author | Sahal Wali Ahmad Alsolmi Mohammed Babgi Ashwag Alqurashi Doaa Alghamdi Khalid Bajunaid Saleh Baeesa |
| author_facet | Sahal Wali Ahmad Alsolmi Mohammed Babgi Ashwag Alqurashi Doaa Alghamdi Khalid Bajunaid Saleh Baeesa |
| author_sort | Sahal Wali |
| collection | DOAJ |
| description | Background: Arteriovenous malformation of the scalp (sAVM) is a rare pathology that accounts for 8% of all cranial arteriovenous malformations. It is believed to be congenital; however, few reported were secondary to trauma. They are managed either via surgical resection, endovascular embolization, or combined approach. Cases with bilateral dual extracranial feeders are yet significantly scarce incidents among this rare pathology. We report a case of sAVM with dual bilateral feeders and review the literature. Case presentation: We report a case of a 24-year-old male who presented with a spontaneous para-midline enlarging mass over five years associated with headache. Imaging, including angiography, showed a subcutaneous vascular lesion measuring 2.4x4.2 cm supplied by bilateral superficial temporal arteries and occipital arteries. The patient underwent endovascular subtotal embolization with subsequent surgical excision with excellent recovery. Conclusion: The rare occurrence of sAVMs requires a high index of suspicion and angiographic images to assess blood supply for preoperative embolization. A combined management approach is associated with good outcome and decrease the risk of recurrence. |
| first_indexed | 2024-12-13T16:16:39Z |
| format | Article |
| id | doaj.art-8ea9d57eaafd4c9c96419e5027758802 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-13T16:16:39Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-8ea9d57eaafd4c9c96419e50277588022022-12-21T23:38:49ZengElsevierInterdisciplinary Neurosurgery2214-75192022-03-0127101431Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literatureSahal Wali0Ahmad Alsolmi1Mohammed Babgi2Ashwag Alqurashi3Doaa Alghamdi4Khalid Bajunaid5Saleh Baeesa6Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaDivision of Neurosurgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaDivision of Neurosurgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Pathology, Faculty of Medicine, University of Jeddah, Jeddah, Saudi ArabiaDepartment of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi ArabiaFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; Division of Neurosurgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; Corresponding author at: Division of Neurosurgery, Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah 21589, Saudi Arabia.Background: Arteriovenous malformation of the scalp (sAVM) is a rare pathology that accounts for 8% of all cranial arteriovenous malformations. It is believed to be congenital; however, few reported were secondary to trauma. They are managed either via surgical resection, endovascular embolization, or combined approach. Cases with bilateral dual extracranial feeders are yet significantly scarce incidents among this rare pathology. We report a case of sAVM with dual bilateral feeders and review the literature. Case presentation: We report a case of a 24-year-old male who presented with a spontaneous para-midline enlarging mass over five years associated with headache. Imaging, including angiography, showed a subcutaneous vascular lesion measuring 2.4x4.2 cm supplied by bilateral superficial temporal arteries and occipital arteries. The patient underwent endovascular subtotal embolization with subsequent surgical excision with excellent recovery. Conclusion: The rare occurrence of sAVMs requires a high index of suspicion and angiographic images to assess blood supply for preoperative embolization. A combined management approach is associated with good outcome and decrease the risk of recurrence.http://www.sciencedirect.com/science/article/pii/S2214751921003431ScalpArteriovenous malformationCirsoid aneurysmEmbolizationSurgery |
| spellingShingle | Sahal Wali Ahmad Alsolmi Mohammed Babgi Ashwag Alqurashi Doaa Alghamdi Khalid Bajunaid Saleh Baeesa Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature Interdisciplinary Neurosurgery Scalp Arteriovenous malformation Cirsoid aneurysm Embolization Surgery |
| title | Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature |
| title_full | Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature |
| title_fullStr | Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature |
| title_full_unstemmed | Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature |
| title_short | Scalp arteriovenous malformation with dual bilateral arterial feeders: Case report and review of literature |
| title_sort | scalp arteriovenous malformation with dual bilateral arterial feeders case report and review of literature |
| topic | Scalp Arteriovenous malformation Cirsoid aneurysm Embolization Surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2214751921003431 |
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