Fisher-Jeffes N D, Domingo Z, Madden M, de Villiers J C
Department of Neurosurgery, Groote Schuur Hospital, University of Cape Town, South Africa.
Neurosurgery. 1995 Apr;36(4):656-60; discussion 660. doi: 10.1227/00006123-199504000-00003.
We report twenty-four patients with cirsoid aneurysms of the scalp. For nine patients (38%), the lesions were related to trauma. Each of the patients presented with a pulsatile scalp swelling with a bruit. No focal neurological deficits were noted in any of the patients. Scalp malformations in all patients were confirmed by selective internal and external carotid angiography, with no intracerebral component revealed in any of the patients. Twenty-one patients had the lesions surgically excised, with good results. The remaining three refused surgical intervention. Meticulous surgical technique, which includes removal of the pericranial component of the malformation, was paramount.
我们报告了24例头皮蔓状动脉瘤患者。9例患者（38%）的病变与外伤有关。每位患者均表现为搏动性头皮肿胀并伴有血管杂音。所有患者均未出现局灶性神经功能缺损。所有患者的头皮畸形均通过选择性颈内、外动脉血管造影得以证实，且所有患者均未发现颅内病变。21例患者接受了手术切除，效果良好。其余3例拒绝手术干预。包括切除畸形的颅骨膜成分在内的精细手术技术至关重要。
