Modern Endovascular and Aesthetic Surgery Techniques to Treat Arteriovenous Malformations of the Scalp: Case Illustration

    March 2008 in “ Surgical Neurology
    Ziad A. Hage, Julius W. Few, Daniel L. Surdell, Joseph G. Adel, H. Hunt Batjer, Bernard R. Bendok
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    TLDR New techniques for treating scalp blood vessel malformations are effective and can have good cosmetic results.
    The document presents a case of a 42-year-old man with a left temporal scalp arteriovenous malformation (AVM), treated using a combination of endovascular and surgical techniques. The patient underwent preoperative embolization with multiple detachable platinum coils to occlude the AVM, followed by surgical excision and local flap reconstruction the next day. The treatment aimed to reduce intraoperative blood loss and improve cosmetic results. The document highlights the effectiveness of a multidisciplinary approach and a treatment algorithm to achieve safe and aesthetically pleasing outcomes. It also acknowledges potential complications of endovascular therapy, such as scalp necrosis and alopecia, but the patient in this case had a successful outcome with no mention of such complications. The document does not provide the number of people in the study, as it focuses on a single case.
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