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J Neurol Surg A Cent Eur Neurosurg 2021; 82(05): 490-493
DOI: 10.1055/s-0041-1723848
Technical Note

Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

Juan Felipe Abaunza-Camacho 
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
David Vergara-Garcia 
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
Francisco Perez
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
Camilo Benavides
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
Alberto Caballero
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
Jorge Torres
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
,
William Mauricio Riveros
1   Department of Neurosurgery, Center for Research and Training in Neurosurgery (CIEN), Rosario University School of Medicine, Samaritan University Hospital, Bogotá, Colombia
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Abstract

Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia.

Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement.

Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient.

Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.

Keywords

arteriovenous fistula - cirsoid aneurysm - endovascular therapy - open vascular surgery - scalp


Publication History

Received: 28 May 2020

Accepted: 22 September 2020

Article published online:
12 April 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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