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Surgical management of cirsoid aneurysms
N Muthukumar1, V Rajagopal, A V Manoharan
1Department of Neurosurgery, Madurai Medical College, Madurai, India.
Acta Neurochirurgica
|May 22, 2002
Summary
Surgical excision is an effective treatment for cirsoid aneurysms (arteriovenous fistulas) of the scalp, offering good cosmetic outcomes and no recurrence. This approach addresses complex vascular lesions in neurosurgery.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Dermatology
Background:
- Cirsoid aneurysms, also known as arteriovenous fistulas, are rare scalp lesions.
- These complex vascular malformations present significant management challenges due to intricate anatomy and high flow.
- They often result in cosmetic disfigurement and are infrequently encountered in neurosurgical practice.
Observation:
- Eleven patients with cirsoid aneurysms underwent surgical management.
- The majority of patients were young males, with trauma reported in half of the cases.
- Commonly affected areas included the occipital and frontal regions, with superficial temporal, occipital, and posterior auricular arteries as primary feeding vessels.
Findings:
- Surgical excision was performed in 8 patients; en bloc resection with scalp reconstruction in 3.
- Two patients experienced superficial scalp necrosis, successfully managed.
- Excellent cosmetic results and no recurrence were observed in most patients during an average 18-month follow-up.
Implications:
- Surgical excision is a viable and effective treatment for cirsoid aneurysms.
- The procedure can achieve favorable cosmetic results, improving patient quality of life.
- This study highlights successful surgical strategies for managing these rare and complex vascular lesions.