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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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A Fix for a Scalp Varix! A Rare Case of Cirsoid Aneurysm in a Child

Khyati Kiran Janapareddy1, Nitin James Peters1, Ram Samujh1

  • 1Department of Paediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Indian Association of Pediatric Surgeons
|March 9, 2022
PubMed

Insights

Cirsoid aneurysms (CA) are rare scalp arteriovenous fistulas. This case highlights the diagnosis and successful combined embolization and surgical management of CA in a pediatric patient.

Area of Science:

  • Vascular Surgery
  • Pediatric Neurosurgery
  • Interventional Radiology

Background:

  • Cirsoid aneurysm (CA) is a rare arteriovenous fistula involving scalp vessels.
  • Limited literature exists on the incidence and management of CA in pediatric populations.

Observation:

  • A 7-year-old boy presented with a suspected scalp mass.
  • Diagnostic angiography confirmed the presence of a cirsoid aneurysm.

Findings:

  • The pediatric cirsoid aneurysm was successfully diagnosed using angiography.
  • A combined approach of angiographic embolization followed by surgical excision was employed for management.

Implications:

  • This case contributes to the scarce literature on pediatric cirsoid aneurysms.
  • The successful combined endovascular and surgical treatment suggests a viable management strategy for pediatric CA.
  • Further research into the optimal timing and techniques for managing pediatric CA is warranted.

Keywords:
Cirsoid aneurysmembolizationsurgical excision

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