Resumo

GARCIA CHAVEZ, Maikel; RAMIREZ TASE, Osmán  e  VAZQUEZ RODRIGUEZ, Erisnel. Complex epicranial arteriovenous malformation (cirrhoid aneurysm). Case report and literature review. Multimed [online]. 2022, vol.26, n.2  Epub 15-Mar-2022. ISSN 1028-4818.

Extracranial arteriovenous malformations are rare vascular lesions consisting of abnormal fistulous communications, associated with dilated drainage veins, which grow over time, with a tendency to massive bleeding and skin lesions. We present the case of a 19-year-old male patient diagnosed with an extracranial arteriovenous malformation consisting of a large, high-flow cirsoidal aneurysm that affected the scalp, face, and neck. The same was followed by the Neurosurgery service of the "Carlos Manuel de Céspedes" Hospital in Bayamo since 2015, showing progressive growth of the same and increase in size, causing ulceration of the overlying skin and hemorrhages of great magnitude so that in Initially, as an emergency measure to save life, ligation of the left common carotid artery was performed. After this, a decrease in dimensions and intranidal flow was verified. However, the hemorrhages persisted. Total macroscopic excision of the artery was scheduled. injury, proceed that was successful. Subsequently, he underwent reconstructive treatment by Caumatology with an autologous thigh skin graft without complications. Currently, two years after these treatments, there are no evidence of recurrences.

Palavras-chave : Extracranial arteriovenous malformations; Cirrhoid aneurysm; Scalp; Treatment.

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