Le malformazioni arterovenose (MAV) del cuoio capelluto sono rare malformazioni vascolari ad alto flusso che tendono ad accrescersi con il tempo causando spesso gravi disturbi estetici.
Il trattamento chirurgico radicale è spesso impossibile per le complicanze di ordine estetico e l'elevato rischio di sanguinamento.
Riportiamo il caso di una bambina di 9 anni con una MAV del cuoio capelluto in regione fronto-parietale destra alimentata da entrambe le arterie temporali superficiali e dal ramo sovraorbitario dell'arteria oftalmica di destra che è stata devascolarizzata completamente mediante embolizzazione arteriosa per via femorale e venosa per via percutanea.
BarnwellSLHalbachCF: Endovascular treatment of scalp arteriovenous fistulas associated with a large varix. Radiology173: 533–539, 1989.
2.
BenndorfGCampiA: Endovascular management of a bleeding mandibular aryeriovenous malformation by transfemoral venous embolization with NBCA. Am J Neuroradiol22: 359–362, 2001.
3.
BenndorfGJansmaC: Percutaneous treatment of scalp arteriovenous fistula in a 6-year-old child. Neuroradiology40(suppl 1): 96, 1998.
4.
BenndorfGLehmannTNLankschWR: Treatment of external carotid artery fistula by percutaneous venous approach. Interventional Neuroradiology5: 251–256, 1999.
5.
FiratMDincerC: Treatment of giant orbitofacial vascular malformation and ophthalmic artery aneurism with intralesion glue injections: Case report. Am J Neuroradiol22: 1419–1423, 2001.
6.
Fisher-JeffesNZayneD: Arteriovenous malformations of the scalp. Clinical study. Neurosurgery36: 656–660, 1995.
7.
HanMHSeongSO: Craniofacial arteriovenous malformation: Preoperative embolization with direct punture and injection of n-butyl cyanoacrilate. Radiology211: 661–666, 1999.
8.
HeilmanCBKannES: Elimination of cirsoid aneurysm of the scalp by direct percutaneous embolization with thrombogenic coils. J Neurosurg73: 296–300, 1990.
9.
HerbreteauDAymardA: Current management of cervicofacial superficial vascular malformation and haemangiomas. In: ConnorsJJWojakJC (ed): Interventional Neuroradiology — Strategies and practical techniques. WB Saunders Company: 317–327, Philadelphia1999.
10.
MouraoGSHodesJE: Curative treatment of scalp arteriovenous fistulas with direct punture and embolization with absolute alcohol. J Neurosurg75: 634–637, 1991.
