Surgical Management of Cirsoid Aneurysms of The Scalp: Ten-years' experience.

OBJECTIVE Cirsoid aneurysms are rare arterio-venous malformations of the scalp that present with disfigured pulsatile masses and may be associated with headache, bleeding or tinnitus. These lesions are difficult to manage because of their complex vascular anatomy, high shunt flow and cosmetic disfigurement, many options have been described to treat such lesions. We figure out 10 years' experience in the surgical management of cirsoid aneurysms of the scalp. METHODS This study included 15 patients with cirsoid aneurysm of the scalp all of them were treated with surgical excision only over 10 years. They were eight females and seven males with a median age of 23 years. History of trauma was present in five patients. Frontal and parietal regions were the commonly affected sites. Superficial temporal, supraorbital and occipital arteries were the most frequent feeding arteries. RESULTS Excision of the lesion was done in all patients using our modified surgical technique. All the patients had good cosmetic results and there were no recurrences during an average follow up of 25 months. CONCLUSION In spite of great progress in endovascular therapy, surgical excision of cirsoid aneurysms of the scalp seems to be the most effective treatment with good results and patient's satisfaction.