Giant vascular malformations invading the skull:A case report  

作　　者：Ming-Chen Xie Fu-Xu Wang Jian Xu 

机构地区：[1]Department of Neurosurgery,The Affiliated Hospital of Qingdao University,Qingdao 266000,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2024年第16期2869-2875,共7页世界临床病例杂志

摘　　要：BACKGROUND Vascular malformations(VMs)arise as a result of errors in the process of angiogenesis and are usually present at birth,but may not become apparent until after birth.However,giant VMs of the head and face are uncommon,with few reported cases,and the prognosis for their surgical intervention is unclear.CASE SUMMARY A 12-year-old girl was admitted to the hospital with findings of an enlarged right temporal scalp.After admission,computed tomography(CT)angiography of cerebral ateries showed a right occlusal gap and a right temporal artery venous malformation.Furthermore,cerebral angiography showed a right temporal lobe VM with multiple vessels supplying blood.The patient underwent surgery to remove the malformed vessels and the eroded skull.Two hours after the surgery,the patient's right pupil was dilated,and an urgent CT scan of the skull showed a right subdural haematoma under the incision,which was urgently removed by a second operation.After surgery,we gave continuous antibiotic anti-infection treatment,and the patient recovered well and was discharged two weeks later.CONCLUSION Surgical removal of giant haemangiomas is risky and adequate preoperative(including interventional embolisation)and intraoperative preparations should be made.

关 键 词：Giant vascular malformation Early intervention Surgical intervention Interventional embolization Case report 

分 类 号：R738.7[医药卫生—肿瘤]