Chronic scalp ulceration as a late complication of fluoroscopically guided cerebral aneurysm embolization.
Fluoroscopy-induced chronic radiation dermatitis resulting from prolonged exposure to ionizing radiation during interventional procedures has been documented in the medical literature. However, this condition often requires a high clinical suspicion in order to establish a correct diagnosis. In this report, the development of deep scalp ulceration with bone exposure following the endovascular coiling of an anterior communicating artery aneurysm 8 years before is described. A skin biopsy specimen demonstrated changes consistent with chronic radiation dermatitis and ruled out malignancy. This case report expands the clinical manifestation spectrum of fluoroscopy-induced chronic radiation skin injury and highlights the importance of recognizing these lesions early to prevent morbidity related to radiation-induced skin damage.
Department of Dermatology, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain. dlopezaventin@parcdesalutmar.cat
Daniel
D
López Aventín
Inmaculada
I
Gil
Demian Manzano
DM
López González
Ramon M
RM
Pujol
D002908:Chronic Disease; D002985:Clinical Protocols; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005471:Fluoroscopy / Q000009:adverse effects*; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011855:Radiodermatitis / Q000209:etiology* / Q000601:surgery; D012536:Scalp Dermatoses / Q000209:etiology* / Q000601:surgery; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000209:etiology* / Q000601:surgery; D013524:Surgical Flaps