Cirsoid aneurysm

The role of
combined computed tomographic angiography and digital subtraction angiography in the management of cervico-facial vascular lesions. A 39-year-old male patient presented by a large right frontoparietal cirsoid aneuyrsm. a Coronal sections of CTA demonstrating a large right frontoparietal cirsoid aneuyrsm with MIP and VR images showing the superficial temporal artery as the main feeder. b DSA showing the cirsoid anueyrsm using the macro-catheter in AP and lateral projections. c DSA showing the cirsoid anueyrsm using the micro-catheter in AP and lateral projections. d DSA showing glue within the cirsoid anueyrsm which is totally occluded at post-embolization angiogram super-selectively. e Post-embolization angiogram via the macro- and micro-catheters revealed another active small component, which became more evident after occlusion of the original large one. f Another DSA image showing the residual active small component (red arrow) in the AP projection. Note the superiorly related totally occluded original large one (green arrow). g Post-embolization angiogram revealed total occlusion of the residual active small component as well as the original large one
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Cirsoid aneurysms are rare arteriovenous malformations of the scalp and extremities.

Clinical presentation

Patients often present with a slow-growing pulsatile mass and may also experience bleeding, tinnitus and/or a headache .

Pathology

Cirsoid aneurysms develop due to an abnormal arteriovenous connection to the superficial veins.

Typically, cirsoid aneurysms of the scalp are fed by the superficial temporal artery only and less commonly they are fed by both superficial temporal and occipital arteries.

Etiology

They are most commonly congenital, although post-traumatic cirsoid aneurysms have been described .

Treatment and prognosis

Patients may go on to develop cosmetic defects if left untreated. Treatment options include endovascular occlusion, surgical resection or direct injection of sclerosing agents .

History and etymology

They were first described in 1833 by Brecht.

Differential diagnosis

Considerations include :

Siehe auch:
Assoziationen und Differentialdiagnosen zu Cirsoid aneurysm:
Arteriovenöse
Malformation des Gesichts
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