Surgical excision of cirsoid aneurysm of the scalp without preoperative embolization : A better strategy

Dr. Prateek Bansal; Dr. Rohit Kumar Singh Kamboj; Dr. Akshay Baid; Dr. Sahil Sharma; Dr.Syamantak Srivastava

Volume : V, Issue : VIII, August - 2016

Surgical excision of cirsoid aneurysm of the scalp without preoperative embolization : A better strategy

Dr. Prateek Bansal, Dr. Rohit Kumar Singh Kamboj, Dr. Akshay Baid, Dr. Sahil Sharma, Dr. Syamantak Srivastava

Abstract :

Cirsoid aneurysm of the scalp are rare disorders, they can cause headaches , excessive bleeding when traumatized , epilepsy , tinnitus and deformity. They are rare arteriovenous fistulas of the scalp.They are currently diagnosed by digital subtraction angiography , CT Angiography , MRI and MR Angiography. The choice of treatment method should be based on a range of typical characteristics of the lesion, including angioarchitecture, size and clinical presentation. Endovascular embolization was described either alone or prior to surgery in order to minimize the risk of bleeding. However, the endovascular therapy also carries the risk of scalp necrosis, button hole formation , escape of embolization material to circulation, and recurrence of the lesion. Here we present a case report of a patient with similar complaints and surgical excision without preoperative embolization was found to be beneficial and there were less complication and both surgeon and patient were satisfied with the results.