Gupta Rakesh, Kayal Akshat
Department of Neurosurgery, SAIMS Medical College and P.G. Institute, Indore, Madhya Pradesh, India.
J Pediatr Neurosci. 2014 Sep-Dec;9(3):263-6. doi: 10.4103/1817-1745.147587.
Scalp arteriovenous malformations are an exceptional group of vascular lesions with curious presentations and an elusive natural history. Their detection in the pediatric population is a rarer occurrence. We discuss our experience with five children suffering from this pathology and their surgical management carried at our institution from 2007 to 2013. The genesis in pediatric patients is, usually, spontaneous in contrast with the history of trauma seen in adults. Clinical symptoms, usually, range from an asymptomatic lesion, local discomfort, headaches to necrosis and massive hemorrhage. Selective angiography remains the cornerstone for investigation. Complete surgical excision, embolization or an approach combining the modalities is curative.
头皮动静脉畸形是一组特殊的血管病变,临床表现奇特,其自然病史难以捉摸。在儿科人群中发现此类病变更为罕见。我们讨论了2007年至2013年在我院治疗的5例患有这种疾病的儿童的经验及其手术治疗情况。与成人常见的创伤史不同,儿科患者的病因通常是自发的。临床症状通常从无症状病变、局部不适、头痛到坏死和大量出血不等。选择性血管造影仍然是诊断的基石。完整的手术切除、栓塞或联合应用这些方法是可以治愈的。