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头皮巨大动静脉畸形:1例罕见病例。

Giant arteriovenous malformation of the scalp: A rare case.

作者信息

Dewi Dian Komala

机构信息

Department of Radiology, Faculty of Medicine, Padjadjaran University, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.

出版信息

Radiol Case Rep. 2024 Sep 13;19(12):5849-5852. doi: 10.1016/j.radcr.2024.08.132. eCollection 2024 Dec.

Abstract

Arteriovenous malformation (AVM) of the scalp is a rare extracranial vascular disorder lesion, that arises due to a pathological fistulous connection between the feeding artery and the draining vein, without capillary involvement within the subcutaneous layer. Here, we report a case of a 68-year-old woman who experienced progressively enlarging and throbbing lumps on the scalp in the bilateral frontotemporoparietooccipital region, especially the left, accompanied by a mild headache and minor hair loss. The patient was diagnosed with giant AVM of the scalp after undergoing ultrasonography (USG) and Computed tomography angiography (CTA) examinations. Computed tomography angiography is essential to precisely determine the angiographic architecture of the AVM and to determine further management.

摘要

头皮动静脉畸形(AVM)是一种罕见的颅外血管性疾病病变,它是由于供血动脉与引流静脉之间存在病理性瘘管连接而产生的,皮下层内无毛细血管参与。在此,我们报告一例68岁女性病例,该患者双侧额颞顶枕部,尤其是左侧头皮出现逐渐增大且搏动性的肿块,伴有轻度头痛和少量脱发。该患者在接受超声检查(USG)和计算机断层血管造影(CTA)检查后,被诊断为巨大头皮AVM。计算机断层血管造影对于精确确定AVM的血管造影结构以及确定进一步的治疗方案至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199f/11418114/83430dbd6a77/gr2.jpg

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