Nontraumatic scalp arteriovenous fistula in an adult: technical report on an illustrative case.
BACKGROUND
The treatment of sAVF is difficult, and many therapeutic approaches have been proposed. General approaches for the treatment of sAVF include ligation of the feeding arteries, surgical removal, electrothrombosis, embolization, and a combination of these approaches.


METHODS
A 35-year-old man presented with occipital subcutaneous pulsatile thrill. We discussed and illustrated a rare sAVF, which was a high-flow sAVF fed by the occipital branch of the right ACE draining intraosseously into the SS. The case was treated by surgical origin ligation.


CONCLUSIONS
This case was unusual in the sense that it was apparently spontaneous, and the major venous drainage was through the bone into the SS. Arterial supply pattern of sAVF is very important in therapeutic decision-making. We suggest that surgical origin ligation for sAVF be considered if the case has 1 feeding artery.
Senoglu
Mehmet
M
KSU Medical School Department of Neurosurgery, 46050 Kahramanmaras, Turkey. mehmetsenoglu@hotmail.com
Yasim
Alptekin
A
Gokce
Mustafa
M
Senoglu
Nimet
N
D000328:Adult; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D008026:Ligation; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008488:Medical Illustration; D012535:Scalp / Q000002:abnormalities* / Q000098:blood supply*; D013699:Temporal Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods