Abstract
Cirsoid aneurysms are uncommon arteriovenous fistulas of the scalp. Surgery for these lesions can be difficult; transarterial embolization is rarely curative, while embolization of the venous pouch with permanent agents usually necessitates subsequent surgical removal of the embolic material. The ideal embolic agent would be one that is safe and effective, commercially available, and would not require subsequent removal. We treated an arteriovenous fistula of the scalp with direct puncture and injection of sodium tetradecyl sulfate, a commercially available sclerosing agent. Control angiography immediately following percutaneous injection of sotradecol into the fistula showed decreased flow but not complete closure of the lesion. However, within several days of the embolization, the patient's scalp pain and mass resolved. Four months after embolization, MRA demonstrated no evidence of residual or recurrent fistula. Color doppler flow imaging demonstrated only slightly decreased vascular resistance in the distal superficial temporal artery, possibly indirect evidence of persistent micro-fistulae. Twenty-three months after the procedure, the patient continued to be asymptomatic and had no palpable lesion. Percutaneous injection o...Continue Reading
References
May 15, 1979·Neuroradiology·G ScialfaC Tonon
Jul 1, 1992·AJR. American Journal of Roentgenology·L E HendrixA L Williams
Oct 1, 1991·Journal of Neurosurgery·G S MouraoJ J Merland
Aug 1, 1990·Journal of Neurosurgery·C B HeilmanA R Cohen
Nov 1, 1989·Radiology·S L BarnwellG B Hieshima
Jan 1, 1973·Annals of Surgery·G Khodadad
Oct 1, 1984·Radiology·K J ChoD J Griffin
Sep 1, 1982·Plastic and Reconstructive Surgery·Y Ogawa, K Inoue
Dec 1, 1980·The Laryngoscope·G R HoltW C Young
Jan 1, 1946·Archives of Surgery·W E DANDY
Citations
Apr 7, 2006·Neurosurgical Review·Doga GurkanlarEngin Gonul
Aug 10, 2012·The Journal of Laryngology and Otology·A KumarJ B Bakshi
Jun 3, 1999·Radiology·M H HanM C Han
Apr 6, 2013·Asian Journal of Neurosurgery·Ayman A El Shazly, Khaled M F Saoud
Apr 12, 2011·Acta neurochirurgica·Richard T Z DalyaiAdel M Malek
Feb 20, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Satyendra K TiwaryA K Khanna
Feb 15, 2012·British Journal of Neurosurgery·Rajinder KumarBhawani Singh Sharma
Dec 21, 2017·Clinical Neuroradiology·Barbaros CilIbrahim Vargel
May 6, 2017·BMJ Case Reports·Daisy KheraNeeraj Mehta
Nov 6, 2015·Journal of Korean Neurosurgical Society·Hee Jong KiJong Won Lee
Aug 14, 2019·The Journal of Craniofacial Surgery·Aditi M KanthOluwaseun A Adetayo
Jun 18, 2019·The Journal of Craniofacial Surgery·Khaled AlawnehLiqaa Raffee
Aug 7, 2019·Neurosurgery·Agbolahan SofelaSamantha Hettige
Apr 6, 2021·World Neurosurgery·Yasser M ElKiranAmr M Elshafei
Sep 3, 2021·World Neurosurgery·Mohan Karki, Yam Bahadur Roka