Abstract:
Cirsoid aneurysms, formerly identified as arteriovenous malformations (AVMs), represent infrequent vascular anomalies primarily localized within the scalp. These anomalies are typified by the absence of interposing capillaries, giving rise to extensively vascularized, expanded conduits connecting arterial feeders and venous outflows. This report details a case of a 13-year-old male afflicted with a cirsoid aneurysm in the scalp, who presented with swelling on the left frontal region, accompanied by headache and pulsatile sensations. Definitive diagnosis was achieved through radiological and histopathological examinations. Scalp cirsoid aneurysms may either be congenital in nature or arise following traumatic incidents, with clinical manifestations typically surfacing in the third decade of life. Common clinical presentations encompass a palpable, pulsatile subcutaneous mass, throbbing headaches, tinnitus, and cosmetic concerns. Diverse therapeutic strategies, including surgical excision, endovascular embolization, and percutaneous injection of sclerosing agents, can be employed contingent upon the particular characteristics of the lesion.
摘要:
环状动脉瘤,以前被确定为动静脉畸形(AVM),代表主要位于头皮内的罕见血管异常。这些异常的典型特征是没有插入的毛细血管,引起广泛的血管化,连接动脉进给器和静脉流出的扩张导管。这份报告详细介绍了一例13岁的男性,患有头皮环状动脉瘤,出现左额叶肿胀的人,伴有头痛和搏动感。通过放射学和组织病理学检查实现了明确的诊断。头皮环状动脉瘤可能是先天性的,也可能是在创伤事件后出现的。临床表现通常在生命的第三个十年出现。常见的临床表现包括明显的,皮下搏动性肿块,抽搐的头痛,耳鸣,和化妆品问题。多样的治疗策略,包括手术切除,血管内栓塞,经皮注射硬化剂,可以根据病变的特定特征使用。