IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 4740 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (914 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Article Figures

 Article Access Statistics
    Viewed2081    
    Printed29    
    Emailed0    
    PDF Downloaded84    
    Comments [Add]    

Recommend this journal

 


 
 Table of Contents    
IMAGES IN CLINICAL PRACTICE
Year : 2018  |  Volume : 84  |  Issue : 1  |  Page : 57-58

Cirsoid aneurysm of scalp


Department of Dermatology, Venereology and Leprosy, MNR Medical College and Hospital, Sangareddy, Telangana, India

Date of Web Publication26-Dec-2017

Correspondence Address:
Geeta Kiran Arakkal
Department of Dermatology, Venereology and Leprosy, MNR Medical College and Hospital, Sangareddy - 502 294, Telangana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijdvl.IJDVL_270_17

Rights and Permissions



How to cite this article:
Varala S, Arakkal GK, Malkud S, Narayana B. Cirsoid aneurysm of scalp. Indian J Dermatol Venereol Leprol 2018;84:57-8

How to cite this URL:
Varala S, Arakkal GK, Malkud S, Narayana B. Cirsoid aneurysm of scalp. Indian J Dermatol Venereol Leprol [serial online] 2018 [cited 2019 Dec 7];84:57-8. Available from: http://www.ijdvl.com/text.asp?2018/84/1/57/219242


A 19-year-old male presented with asymptomatic swellings over the scalp and face since 1 year of age. On cutaneous examination, there were two well-defined cystic, pulsatile swellings over the right parietal region of the scalp and forehead [Figure 1] with bruit on auscultation. Magnetic resonance angiography showed multiple serpiginous flow voids and hyperintensities in the subcutaneous plane of scalp involving the right parieto-occipital and frontal regions with arterial feeders from the right middle meningeal artery and occipital branch of the right external carotid artery [Figure 2] suggestive of arteriovenous malformation (Cirsoid aneurysms are arteriovenous malformation of scalp which can be congenital or occur following trauma. Common manifestations of cerebral arteriovenous malformation are subcutaneous pulsatile swellings, headache, seizures, muscular weakness, numbness, loss of vision and difficulty in speaking depending on the site of involvement in the brain. Cerebral hemorrhages are dangerous complications of AVMs. Magnetic resonance angiography is the gold standard for diagnosis. Treatment options include surgical removal of nidus and palliative embolization.
Figure 1: Engorged tortuous swelling over right frontal region clinically suggestive of arteriovenous malformation

Click here to view
Figure 2: Coronal magnetic resonance angiography showing right fronto-parieto-occipital lesions in the soft tissues of the scalp with tortuous hyperintensity signals suggestive of venous component and intermediate signal intensity suggestive of arterial component. Intracranial vascular communication noted with middle meningeal artery branches at parietal region

Click here to view


Acknowledgment

We thank Dr. Bhaskarnarayana K, Professor and HOD, Department of Dermatology, MNR Medical College and Hospital for his continuous support and guidance.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understand that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


    Figures

  [Figure 1], [Figure 2]



 

Top
Print this article  Email this article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow