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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Scalp arteriovenous malformations in young
1Department of Neurosurgery, SAIMS Medical College and P.G. Institute, Indore, Madhya Pradesh, India.
Insights
Pediatric scalp arteriovenous malformations are rare vascular lesions. Surgical excision, embolization, or combined approaches offer curative treatment for these conditions.
Area of Science:
- Vascular Surgery
- Pediatric Neurosurgery
- Dermatology
Background:
- Scalp arteriovenous malformations (AVMs) are rare vascular lesions.
- Pediatric cases are exceptionally uncommon, presenting unique diagnostic and management challenges.
- Their natural history is often elusive, with varied clinical presentations.
Abstract:
Scalp arteriovenous malformations are an exceptional group of vascular lesions with curious presentations and an elusive natural history. Their detection in the pediatric population is a rarer occurrence. We discuss our experience with five children suffering from this pathology and their surgical management carried at our institution from 2007 to 2013. The genesis in pediatric patients is, usually, spontaneous in contrast with the history of trauma seen in adults. Clinical symptoms, usually, range from an asymptomatic lesion, local discomfort, headaches to necrosis and massive hemorrhage. Selective angiography remains the cornerstone for investigation. Complete surgical excision, embolization or an approach combining the modalities is curative.
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