Popis: |
A growing pulsatile lump of the scalp rarely occurs after blunt head injury. In this condition, the lump may be a delayed-onset traumatic vascular scalp injury such as a pseudoaneurysm or an arteriovenous fistula (AVF). We describe two cases of delayed-onset traumatic vascular scalp injuries: one involved a pseudoaneurysm of the superficial temporal artery, and the other, an AVF fed by the occipital artery. We reviewed reported cases of delayed-onset traumatic vascular scalp injury and discuss the features, diagnosis and treatment. When a growing lump of the scalp is encountered, ultrasonography may be useful in searching for vascular injuries. Keywords: Arteriovenous fistula, Blunt head injury, Occipital artery, Pseudoaneurysm, Superficial temporal artery |