Multimodal Treatment Approach for a Recurrent Hemorrhagic Scalp Arteriovenous Fistula: A Case Report
2024

Successful Treatment of a Recurrent Scalp Arteriovenous Fistula

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Kato Junpei, Tanaka Tatsuya, Yamane Fumitaka, Akahane Masaaki, Hayashi Yuichiro, Matsuno Akira

Primary Institution: International University of Health and Welfare Narita Hospital

Conclusion

The case demonstrates successful management of a recurrent scalp arteriovenous fistula through a multimodal treatment approach.

Supporting Evidence

  • The patient had a pulsatile scalp mass that led to recurrent bleeding.
  • Imaging revealed an 80-mm vascular lesion requiring staged treatment.
  • Postoperative complications included infective endocarditis, which was treated successfully.

Takeaway

A man had a bleeding bump on his head that was fixed by doctors using different treatments, including surgery and special glue.

Methodology

The treatment involved embolization, direct injection of n-butyl-2-cyanoacrylate, surgical excision, and skin grafting.

Limitations

The case report is based on a single patient, limiting generalizability.

Participant Demographics

A 46-year-old man with a history of head injury and recurrent bleeding.

Digital Object Identifier (DOI)

10.7759/cureus.74278

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