Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
Images in Clinical Practice
2018:84:1;57-58
doi: 10.4103/ijdvl.IJDVL_270_17
PMID: 29176252

Cirsoid aneurysm of scalp

Sirisha Varala, Geeta Kiran Arakkal, Shashikant Malkud, Bhaskar Narayana
 Department of Dermatology, Venereology and Leprosy, MNR Medical College and Hospital, Sangareddy, Telangana, India

Correspondence Address:
Geeta Kiran Arakkal
Department of Dermatology, Venereology and Leprosy, MNR Medical College and Hospital, Sangareddy - 502 294, Telangana
India
How to cite this article:
Varala S, Arakkal GK, Malkud S, Narayana B. Cirsoid aneurysm of scalp. Indian J Dermatol Venereol Leprol 2018;84:57-58
Copyright: (C)2018 Indian Journal of Dermatology, Venereology, and Leprology

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
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

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.


Fulltext Views
85

PDF downloads
56
Show Sections