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Updated: Aug 9, 2026
11:58
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Cirsoid aneurysms of the scalp
Doga Gurkanlar1, Muzeyyen Gonul, Ilker Solmaz
1Department of Neurosurgery, Gülhane Military School of Medicine, Ankara, Turkey.
Neurosurgical Review
|April 7, 2006
Summary
Surgical management of cirsoid aneurysms offers effective treatment with high success rates. While scalp necrosis is a rare complication, particularly in the frontal area, surgical resection remains the preferred method for these rare vascular lesions.
Area of Science:
- Neurosurgery
- Vascular Surgery
Background:
- Cirsoid aneurysms of the scalp are rare neurosurgical conditions.
- Surgical management and embolization are potential treatment options.
Purpose of the Study:
- To review the surgical management of cirsoid aneurysms.
- To compare surgical outcomes with embolization.
- To identify factors influencing surgical outcomes.
Main Methods:
- Retrospective review of 21 patients with cirsoid aneurysms who underwent surgery.
- Preoperative imaging included selective internal and external carotid artery angiograms and cranial MRI.
- Patients were staged according to published procedures.
Main Results:
- Total excision was achieved in 90.5% of patients.
- Only one patient required a second surgery for residual lesion.
- Two patients (9.5%) experienced scalp necrosis, both in the frontal area.
- Staging did not impact surgical outcomes.
Conclusions:
- Surgical resection is an effective treatment for cirsoid aneurysms, yielding good cosmetic results.
- Frontal scalp necrosis may be a potential complication.
- The study suggests surgical management is superior to embolization for these lesions.
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