Scalp Cirsoid Aneurysms: Case Illustration and Systematic Review of Literature
| Autor: | Samantha Hettige, Agbolahan Sofela, Temidayo Osunronbi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Fistula Arteriovenous fistula 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm Humans Medicine Embolization Aged Scalp business.industry Endovascular Procedures Headache medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Arteriovenous Fistula Cohort Etiology Neurology (clinical) Headaches medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgery. 86:E98-E107 |
| ISSN: | 1524-4040 0148-396X |
| DOI: | 10.1093/neuros/nyz303 |
| Popis: | BACKGROUND Scalp cirsoid aneurysms are rare subcutaneous arteriovenous fistulae affecting the scalp. They can be easily misdiagnosed and mistreated. OBJECTIVE To review reported cases of scalp cirsoid aneurysms for their incidence, etiology, clinical presentation, treatment, and outcomes using an illustrative case. METHODS We conducted a PUBMED, SCOPUS, OVID SP, SciELO, and INFORMA search using the keywords; "cirsoid," "aneurysm," "arteriovenous," "malformation," "scalp," "vascular," and "fistula." We identified 74 pertinent papers, reporting 242 cases in addition to our reported index case. RESULTS Median age at presentation was 25 yr (range 1-72 yr); male to female ratio was 2.5:1. The most common symptoms were a pulsatile mass (94% of patients), headaches (25%), and tinnitus (20%). The median duration of symptoms was 3 yr (6 d to 31 yr), with 60.2% occurring spontaneously, 32.23% traumatic, and the rest iatrogenic. A total of 58.5% of cases were managed with surgical excision only, 21.6% with endovascular embolization only, and 14.5% with a combination of both methods. The complication rate observed in the endovascular embolization treatment cohort (55.8%) was significantly higher than that observed in the surgical excision only cohort (9.9%) (P |
| Databáze: | OpenAIRE |
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