关键词: Cirsoid aneurysm Pre-operative embolization Scalp arterio-venous malformation Surgical excision Cirsoid aneurysm Pre-operative embolization Scalp arterio-venous malformation Surgical excision

来  源:   DOI:10.1016/j.amsu.2022.103479   PDF(Pubmed)

Abstract:
UNASSIGNED: Cirsoid aneurysms are arteriovenous malformations of the scalp region that usually manifest as a painless pulsatile mass. These are present in the younger age group and frequently associated with trauma.
UNASSIGNED: Several treatment algorithms have been proposed, and we report our experience with sole surgical management.
UNASSIGNED: Retrospective review of all the scalp vascular malformation cases performed in the main national Vascular Surgery Service of Kuwait. Pre-operative data, including patient demographics were obtained. All patients underwent diagnostic vascular Duplex ultrasound and angiography. Intra-operative and post-operative data, including outcomes and follow up were recorded.
UNASSIGNED: Six patients with Cirsoid aneurysm, four females and two males, had a mean age of 19.7 years (range, 10-33 years). All the patients presented with a painless pulsating mass in the scalp (4 Anterolateral and 2 posterior), and one case had associated dizziness and headache. These malformations were found to be solely fed by the extra-cranial vessels with no intra-cranial communication. One patient had pre-operative embolization prior to excision, and the rest had sole surgical excision. No postoperatively complications or recurrence were seen at 2-5 year follow up.
UNASSIGNED: Cirsoid aneurysms are amenable to sole surgical excision with excellent results after excluding intra-cranial communication.
摘要:
未经证实:环状动脉瘤是头皮区域的动静脉畸形,通常表现为无痛的搏动性肿块。这些存在于较年轻的年龄组中,并且经常与创伤有关。
未经评估:已经提出了几种治疗算法,我们报告了我们在唯一手术管理方面的经验。
UNASSIGNED:对科威特主要国家血管外科服务机构进行的所有头皮血管畸形病例进行回顾性审查。术前数据,包括患者的人口统计学。所有患者均行诊断性血管超声和血管造影。术中和术后数据,记录结果和随访情况.
未经授权:6例环状动脉瘤患者,四名女性和两名男性,平均年龄为19.7岁(范围,10-33岁)。所有患者均表现为头皮无痛搏动性肿块(前外侧4例,后外侧2例),1例伴有头晕和头痛。发现这些畸形仅由颅外血管喂养,没有颅内通讯。一名患者在切除前进行了术前栓塞,其余的进行了单独的手术切除.术后随访2~5年无并发症及复发。
UNASSIGNED:囊状动脉瘤可以进行单独的手术切除,在排除颅内沟通后效果极佳。
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