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Arteriovenous malformation of the scalp with cerebral steal
Author(s) -
Kelly Kate,
Trites Jonathan R. B.,
Taylor S. Mark,
Bullock Martin,
Hart Robert D.
Publication year - 2009
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21032
Subject(s) - medicine , arteriovenous malformation , scalp , head trauma , radiology , cerebral angiography , pulsatile flow , blunt , vascular malformation , surgery , mass effect , stroke (engine) , angiography , hematoma , cardiology , mechanical engineering , engineering
Background Arteriovenous malformation of the scalp resulting from blunt trauma to the head is an unusual occurrence and is rarely associated with neurological sequelae. This case details an arteriovenous malformation with a cerebral steal phenomenon. Methods A 21‐year‐old man presented with an enlarging, pulsatile mass in the right facial/temporal area without known cause. CT and angiography were consistent with a large arteriovenous malformation involving the external carotid system, causing a secondary cerebral steal that resulted in neurological symptoms including seizure. Surgical resection of the mass was undertaken. Results The patient had an uncomplicated preoperative course with complete resolution of all neurologic symptoms. Conclusion Cerebral steal is an uncommon consequence of traumatic extracranial arteriovenous malformation. The current literature is reviewed, and the diagnostic approach as well as therapeutic options are discussed. © 2009 Wiley Periodicals, Inc. Head Neck, 2009