Wang Juncheng, Kuai Tao, Du Aichao, Yu Lihua, Duan Yuzhen, Yuan Guoqiang, Ma Dongming, Pan Yawen
The Second Clinical Medical School, Lanzhou University, Lanzhou, China.
Department of Neurosurgery, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, China.
Front Oncol. 2024 Dec 20;14:1452695. doi: 10.3389/fonc.2024.1452695. eCollection 2024.
Scalp arteriovenous fistula (sAVF) is a rare disease caused by a congenital defect or exogenous injury, but no standard treatment exists. In this article, we report a rare case of sAVF combined with type C sAVF and cirsoid aneurysm (CA), which was successfully treated by staging microsurgery. Individualized surgical incisions were designed based on the size and range of the sAVF, and then staging microsurgery was performed. The first surgery was performed by selectively ligating the supply arteries and fistula of the sAVF. The second surgery was performed by total excision of the vascular malformation a month later. The volume of the vascular malformation in the subcutaneous area decreased after the first surgery, and the vascular malformation in the subcutaneous area was completely removed after the second surgery. In the end, we conclude that the nidus or fistula can be removed entirely through personalized surgical incisions for complicated sAVF combined with type C sAVF and CA.
头皮动静脉瘘（sAVF）是一种由先天性缺陷或外源性损伤引起的罕见疾病，但目前尚无标准治疗方法。在本文中，我们报告了一例罕见的sAVF合并C型sAVF和蔓状动脉瘤（CA）的病例，该病例通过分期显微手术成功治疗。根据sAVF的大小和范围设计个体化手术切口，然后进行分期显微手术。第一次手术通过选择性结扎sAVF的供血动脉和瘘口进行。一个月后进行第二次手术，将血管畸形完全切除。第一次手术后皮下区域血管畸形的体积减小，第二次手术后皮下区域的血管畸形被完全切除。最后，我们得出结论，对于合并C型sAVF和CA的复杂sAVF，通过个性化手术切口可以完全切除病灶或瘘口。
