title: Arteriovenous malformations of the scalp.
abstract: We report twenty-four patients with cirsoid aneurysms of the scalp. For nine patients (38%), the lesions were related to trauma. Each of the patients presented with a pulsatile scalp swelling with a bruit. No focal neurological deficits were noted in any of the patients. Scalp malformations in all patients were confirmed by selective internal and external carotid angiography, with no intracerebral component revealed in any of the patients. Twenty-one patients had the lesions surgically excised, with good results. The remaining three refused surgical intervention. Meticulous surgical technique, which includes removal of the pericranial component of the malformation, was paramount.
authors.affiliation: Department of Neurosurgery, Groote Schuur Hospital, University of Cape Town, South Africa.
authors.forename: N D
authors.initials: ND
authors.lastname: Fisher-Jeffes
authors.forename: Z
authors.initials: Z
authors.lastname: Domingo
authors.forename: M
authors.initials: M
authors.lastname: Madden
authors.forename: J C
authors.initials: JC
authors.lastname: de Villiers
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001158:Arteries / Q000473:pathology; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D016489:Head Injuries, Closed / Q000150:complications; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012535:Scalp / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000473:pathology