复杂头皮动静脉瘘的综合手术：一次成功的尝试。
Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial.
作者信息
Ma Zhiming, Zou Zhihao, Xie Dajiang, Qian Linlin
机构信息
Department of Neurosurgery, General Hospital of Xinjiang Military Command, Urumqi, China.
Department of Neurosurgery, Sir Run Run Shaw Hospital, College of Medical Sciences, Zhejiang University, Hangzhou, China.
出版信息
Front Surg. 2025 Jan 13;11:1492616. doi: 10.3389/fsurg.2024.1492616. eCollection 2024.
BACKGROUND
Traumatic scalp arteriovenous fistula is a rare vascular abnormality. Open surgical removal and embolization have been employed to address this condition.
METHODS
In this report, we present a case involving a 41-year-old man who exhibited a progressively enlarging pulsatile mass in his right occipital scalp. Computerized tomography angiography (CTA) and digital subtraction angiography (DSA) identified a complex scalp arteriovenous fistula (S-AVF). The combination of clinical symptoms and neuroimaging findings facilitated the diagnosis.
RESULTS
Following a thorough discussion, we implemented a comprehensive strategy that included both endovascular embolization and surgical resection. The patient demonstrated an excellent prognosis with no reported discomfort.
CONCLUSIONS
A comprehensive surgical approach should be considered in the management of patients with complex scalp arteriovenous fistula.
背景
创伤性头皮动静脉瘘是一种罕见的血管异常。开放性手术切除和栓塞术已被用于治疗这种疾病。
方法
在本报告中，我们介绍了一例病例，患者为一名41岁男性，其右枕部头皮出现一个逐渐增大的搏动性肿块。计算机断层血管造影（CTA）和数字减影血管造影（DSA）确定为复杂性头皮动静脉瘘（S-AVF）。临床症状和神经影像学检查结果相结合有助于诊断。
结果
经过充分讨论，我们实施了一种综合策略，包括血管内栓塞和手术切除。患者预后良好，未报告有不适。
结论
对于复杂性头皮动静脉瘘患者的治疗，应考虑采用综合手术方法。
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