Management of Ruptured Scalp Arteriovenous Malformation: A Rare Case and Literature Review

• 作者: Boutros F. Farhat Isaac Okyere Paa Kwesi S. Fiifi-Yankson Perditer Okyere Samuel Gyasi Brenu Sanjeev Singh
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 医学
• 关键词: Scalp Arteriovenous Malformation BLEEDING Surgery Rotational Flap
• 年，卷（期）: 2020,（12）
• 页码范围: 271-278
• 页数: 8页
• 分类号: R74

摘要

Arteriovenous malformation (AVM) are vascular anomalies that arise due to abnormal connection with shunting of blood from arteries to veins without an intervening capillary network. They are mostly found intracranially but extracranially, the scalp AVM cases are also well reported. However, arteriovenous malformation (AVM) of the scalp is a rare lesion whose natural history is not clearly understood. The clinical manifestation of AVM includes asymptomatic state, local discomfort, headaches and occasional scalp necrosis leading to massive haemorrhage. CT or MR angiography remains the cornerstone for investigation. The options of treatment include complete surgical excision, embolization or a combination of the two modalities. We present the successful management of a young man who presented with a torrential bleeding from a ruptured scalp arteriovenous malformation and had to undergo emergency complete excision followed with a rotational flap for the scalp reconstruction.