Surgical management of scalp arterio-venous malformation and scalp venous malformation: An experience of eleven cases

Chowdhury, Forhad Hossain; Haque, Mahmudul; Kawsar, Khandkar Ali; Sarker, Mainul Haque; Haque, Adam

doi:10.4103/0970-0358.113723

Cited by 43 publications

(61 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are reports in the literature on a few small series of patients treated surgically, 13,36 whereas conservative treatment has been described in some isolated cases. 1,40 Since 2009, a few cases of endovascular treatment have been reported, 7,22,37 but no large series exists yet.…”

Section: Discussionmentioning

confidence: 95%

Sinus pericranii: diagnosis and management in 21 pediatric patients

Pavanello¹,

Melloni²,

Antichi

et al. 2015

PED

View full text Add to dashboard Cite

OBJECT Sinus pericranii (SP) is a rare venous anomaly abnormally connecting the intracranial dural sinuses with the epicranial veins. In the present study the authors aimed to clarify this clinicoradiological entity, define the role of angiography in its preoperative assessment, and suggest a diagnostic-therapeutic flow chart for management purposes. METHODS The authors retrospectively reviewed the clinical charts and neuroimages of 21 patients with SP. All patients underwent brain MRI, MR venography, and craniocerebral CT. Diagnostic digital subtraction angiography was performed in 19 of 21 patients, and the SPs were categorized as dominant (draining the majority of the intracranial venous outflow) or accessory (draining only a minority of the intracranial venous outflow). RESULTS SP was median or paramedian in 20 patients and lateral in 1 patient. There were 5 dominant and 14 accessory SPs. The dominant SPs were not treated. Among the patients with accessory SP, 4 were not treated, 2 underwent surgical ligature, and 8 were treated endovascularly (with either transvenous or percutaneous embolization). No complications were observed, and symptoms disappeared after treatment in all cases. CONCLUSIONS Accepted guidelines or recommendations concerning the management, diagnosis, and treatment of SP are still lacking. The authors define here a diagnostic-therapeutic flow chart, in which angiography plays a crucial role in the classification of SP and choice of the optimal treatment. Only accessory SP is amenable to treatment, whereas dominant SP must be preserved. The endovascular approach is becoming increasingly relevant and has proven to be safe and effective.

show abstract

Section: Discussionmentioning

confidence: 95%

Sinus pericranii: diagnosis and management in 21 pediatric patients

Pavanello¹,

Melloni²,

Antichi

et al. 2015

PED

View full text Add to dashboard Cite

show abstract

“…Surgical excision is the most common and successful method of dealing with SAVMs [1], [3], [4], [5], [6]. Various techniques have been used to control hemorrhage during surgery like percutaneous suture of feeding vessels and interlocking suture along line of incision [2].…”

Section: Discussionmentioning

confidence: 99%

“…Although SAVMs are rare, they still account for 50% of integumental AVMs [1], [2], [4]. A progressive growing pulsatile mass,bruit and a throbbing headache are the usual complaints of the patient [2].…”

Section: Introductionmentioning

confidence: 99%

Surgical management of scalp arteriovenous malformations using a novel surgical technique—Case series

Gangadharaswamy

Nagaraj

Pai

2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…For instance, dural arteriovenous fistulas can cause intracerebral hemorrhage (Yako et al 2016) and subdural hematoma (Rivera-Lara et al 2015). Scalp arteriovenous malformation, which causes scalp swelling, headache, and recurrent bleeding (Chowdhury et al 2013), can also drain to the diploic vein (Bekelis et al 2011). On the other hand, the most common diploic venous anomaly is sinus pericranii.…”

Section: Discussionmentioning

confidence: 99%

A rare case of diploic venous anomaly: asymptomatic venous sac expanding in the diploe

2016

View full text Add to dashboard Cite

BackgroundVascular anomalies accompanied with the diploic veins are rare. Among them, sinus pericranii, which is characterized by abnormal connections between intra- and extracranial venous systems, is relatively common. Besides sinus pericranii, a few cases of subepicranial varix with connections to diploic veins have been reported, but these varices had no connections to intracranial venous sinuses. Herein, we present a rare case of an expanding venous sac in the diploe which communicated with the intracranial sinus but not with the extracranial venous systems.Case presentationAn adult woman presented to us with a minor transient headache. Although no abnormal appearances were found on her scalp, imaging studies showed a club-shaped venous sac in the left parietal diploe that communicated with the superior sagittal sinus and diploic veins on the medial and lateral sides, respectively. It was revealed that the lesion had expanded as compared with a previous computed tomography image. Surgery was performed to intercept venous supply from the diploic veins, and the lesion was filled with thrombi. In a follow-up of 15 months, there was no recurrence of abnormal venous flow. Histological examination showed the endothelial lining in the membranous wall of the sac, which is typically observed in sinus pericranii. However, no communication with the pericranial veins of the scalp was identified on the imaging studies and intraoperative observation. Accordingly, it was diagnosed as another entity “intradiploic varix”.ConclusionsThe abnormal connection between the intracranial and the diploic venous systems via the large venous sac was surgically treated. It was pathologically similar to sinus pericranii, but anatomically considered to be another form of venous anomaly. In cases of expanding lesions, surgical treatment is recommended.

show abstract

Surgical management of scalp arterio-venous malformation and scalp venous malformation: An experience of eleven cases

Cited by 43 publications

References 23 publications

Sinus pericranii: diagnosis and management in 21 pediatric patients

Sinus pericranii: diagnosis and management in 21 pediatric patients

Surgical management of scalp arteriovenous malformations using a novel surgical technique—Case series

A rare case of diploic venous anomaly: asymptomatic venous sac expanding in the diploe

Contact Info

Product

Resources

About