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Scalp arteriovenous malformations in young.

Gupta R, Kayal A - J Pediatr Neurosci (2014 Sep-Dec)

Bottom Line: 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.Complete surgical excision, embolization or an approach combining the modalities is curative.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SAIMS Medical College and P.G. Institute, Indore, Madhya Pradesh, India.

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.

No MeSH data available.


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Intra-operative image (Case 2) showing complete excision of scalp arteriovenous malformation
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Figure 4: Intra-operative image (Case 2) showing complete excision of scalp arteriovenous malformation

Mentions: A 12-year-old girl came to our hospital with a spontaneous bleeding from a large left fronto-temporo-parietal scalp swelling which was present since birth and gradually attained its present size. She complained of infrequent headaches, and the swelling had spontaneously bled at a previous occasion 1 month back and had resulted in severe hemodynamic shock for which the patient was treated elsewhere. A large 18.6 cm fronto-temporo-parietal, pulsatile scalp swelling with a scar from previous hemorrhage was observed [Figure 3]. The angiogram revealed moderate dilatation of left superficial temporal artery (STA) with gross dilatation and tortuous course of its frontal branch along its entire length. After hemodynamic stabilization, the patient underwent resection of the lesion after attaining proximal control [Figure 4]. She remains asymptomatic till date.


Scalp arteriovenous malformations in young.

Gupta R, Kayal A - J Pediatr Neurosci (2014 Sep-Dec)

Intra-operative image (Case 2) showing complete excision of scalp arteriovenous malformation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4302550&req=5

Figure 4: Intra-operative image (Case 2) showing complete excision of scalp arteriovenous malformation
Mentions: A 12-year-old girl came to our hospital with a spontaneous bleeding from a large left fronto-temporo-parietal scalp swelling which was present since birth and gradually attained its present size. She complained of infrequent headaches, and the swelling had spontaneously bled at a previous occasion 1 month back and had resulted in severe hemodynamic shock for which the patient was treated elsewhere. A large 18.6 cm fronto-temporo-parietal, pulsatile scalp swelling with a scar from previous hemorrhage was observed [Figure 3]. The angiogram revealed moderate dilatation of left superficial temporal artery (STA) with gross dilatation and tortuous course of its frontal branch along its entire length. After hemodynamic stabilization, the patient underwent resection of the lesion after attaining proximal control [Figure 4]. She remains asymptomatic till date.

Bottom Line: 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.Complete surgical excision, embolization or an approach combining the modalities is curative.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SAIMS Medical College and P.G. Institute, Indore, Madhya Pradesh, India.

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.

No MeSH data available.


Related in: MedlinePlus