{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:12:18Z","timestamp":1791414738493,"version":"4.3.3"},"reference-count":75,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T00:00:00Z","timestamp":1565049600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Neurosurg.","NEUROS"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Scalp cirsoid aneurysms are rare subcutaneous arteriovenous fistulae affecting the scalp. They can be easily misdiagnosed and mistreated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To review reported cases of scalp cirsoid aneurysms for their incidence, etiology, clinical presentation, treatment, and outcomes using an illustrative case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We conducted a PUBMED, SCOPUS, OVID SP, SciELO, and INFORMA search using the keywords; \u201ccirsoid,\u201d \u201caneurysm,\u201d \u201carteriovenous,\u201d \u201cmalformation,\u201d \u201cscalp,\u201d \u201cvascular,\u201d and \u201cfistula.\u201d We identified 74 pertinent papers, reporting 242 cases in addition to our reported index case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Median age at presentation was 25 yr (range 1-72 yr); male to female ratio was 2.5:1. The most common symptoms were a pulsatile mass (94% of patients), headaches (25%), and tinnitus (20%). The median duration of symptoms was 3 yr (6 d to 31 yr), with 60.2% occurring spontaneously, 32.23% traumatic, and the rest iatrogenic. A total of 58.5% of cases were managed with surgical excision only, 21.6% with endovascular embolization only, and 14.5% with a combination of both methods. The complication rate observed in the endovascular embolization treatment cohort (55.8%) was significantly higher than that observed in the surgical excision only cohort (9.9%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0&lt;\u00a0.00001) and in the combined therapy cohort (0%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0&lt;\u00a0.00001). There is a low recurrence rate after treatment irrespective of modality: surgical excision only (6.3%), endovascular embolization only (8.3%), and combined therapy (0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Scalp cirsoid aneurysms are associated with good prognoses when recognized and managed appropriately. We suggest combining surgery with endovascular embolization as the optimum treatment modality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyz303","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T15:09:54Z","timestamp":1562944194000},"page":"E98-E107","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":42,"title":["Scalp Cirsoid Aneurysms: Case Illustration and Systematic Review of Literature"],"prefix":"10.1227","volume":"86","author":[{"given":"Agbolahan","family":"Sofela","sequence":"first","affiliation":[{"name":"Southwest Neurosurgery Centre, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temidayo","family":"Osunronbi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Dentistry, University of Plymouth, Plymouth, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Hettige","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St George's University Hospitals NHS Foundation Trust, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,2]]},"reference":[{"issue":"4","key":"bib1-20240906","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1227\/00006123-199504000-00003","article-title":"Arteriovenous malformations of the scalp","volume":"36","author":"Fisher-Jeffes","year":"1995","journal-title":"Neurosurgery"},{"issue":"1","key":"bib2-20240906","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/00000658-197301000-00015","article-title":"Arteriovenous malformations of the scalp","volume":"177","author":"Khodadad","year":"1973","journal-title":"Ann 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