Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

Juan Felipe Abaunza-Camacho, David Vergara-Garcia, Francisco Perez, Camilo Benavides, Alberto Caballero, Jorge Torres, William Mauricio Riveros

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia. Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement. Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient. Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.

Translated title of the contributionTratamiento híbrido emergente de una fístula arteriovenosa del cuero cabelludo rota con afectación de los párpados: Nota técnica
Original languageEnglish (US)
Pages (from-to)490-493
Number of pages4
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Issue number5
StateE-pub ahead of print - Apr 21 2021

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology


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