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Updated: Jul 12, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
Zhiming Ma1, Zhihao Zou1, Dajiang Xie2
1Department of Neurosurgery, General Hospital of Xinjiang Military Command, Urumqi, China.
Background:
Traumatic scalp arteriovenous fistula is a rare vascular abnormality. Open surgical removal and embolization have been employed to address this condition.
Methods:
In this report, we present a case involving a 41-year-old man who exhibited a progressively enlarging pulsatile mass in his right occipital scalp. Computerized tomography angiography (CTA) and digital subtraction angiography (DSA) identified a complex scalp arteriovenous fistula (S-AVF). The combination of clinical symptoms and neuroimaging findings facilitated the diagnosis.
Results:
Following a thorough discussion, we implemented a comprehensive strategy that included both endovascular embolization and surgical resection. The patient demonstrated an excellent prognosis with no reported discomfort.
Conclusions:
A comprehensive surgical approach should be considered in the management of patients with complex scalp arteriovenous fistula.
