{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:12:16Z","timestamp":1791414736921,"version":"4.3.3"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,22]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Cirsoid aneurysm of the scalp is a rare arteriovenous fistula having a traumatic, congenital, iatrogenic, or idiopathic etiology. Its presentation can range from a small swelling to a large pulsatile mass with tinnitus, headache, and scalp necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 67-year-old female presented with a gradually increasing swelling on her forehead and head since childhood and no history of trauma. Examination revealed 12 \u00d7 5 cm tortuous midline swelling. Computed tomography angiography revealed a mass of tortuous vessels in the right frontoparietal region of the scalp with no bony defect or intracranial extension. Contrast-enhanced computed tomography of the head showed no intracranial pathology. The diagnosis of cirsoid aneurysm was made, and surgery was planned.<\/jats:p>\n                    <jats:p>A bicoronal incision was made. The feeding arteries were dissected and ligated. The nidus was carefully separated, cauterized, and excised in toto. Inadvertently, a buttonhole in the skin was created while dissecting the nidus, which was sutured. The patient developed a small area of scalp necrosis on the 10th postoperative day, which was debrided and sutured. At the 6-month follow-up, no signs of recurrence were present.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>A large cirsoid aneurysm of the scalp with multiple arterial supplies can be treated successfully with surgery. Meticulous dissection and hemostasis are warranted to avoid perioperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23551","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T19:50:36Z","timestamp":1705953036000},"source":"Crossref","is-referenced-by-count":6,"title":["A large cirsoid aneurysm of the scalp with multiple arterial supply: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Soumya","family":"Pahari","sequence":"first","affiliation":[{"name":"Department of Surgery-Neurosurgical Unit, Shree Birendra Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paawan Bahadur","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Surgery-Neurosurgical Unit, Shree Birendra Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibek","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Changhai Hospital, Naval Medical University, Yangpu District, Shanghai, China; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purushottam","family":"Baniya","sequence":"additional","affiliation":[{"name":"Department of Surgery-Neurosurgical Unit, Shree Birendra Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuti","family":"Yadav","sequence":"additional","affiliation":[{"name":"College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prarthana","family":"Subedi","sequence":"additional","affiliation":[{"name":"College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarbind","family":"Mandal","sequence":"additional","affiliation":[{"name":"College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"World Neurosurg.","first-page":"416","article-title":"Scalp cirsoid aneurysm: an updated systematic literature review and an illustrative case report","volume":"119","author":"Albuquerque Sousa LH","year":"2018","unstructured":"Albuquerque Sousa LH, Maranha Gatto LA, Demartini Junior Z, Koppe GL Scalp cirsoid aneurysm: an updated systematic literature review and an illustrative case report. World Neurosurg. 2018;119:416\u2013427."},{"key":"b2","series-title":"World Neurosurg.","first-page":"708.e5","article-title":"Scalp arteriovenous malformation with concomitant, flow-dependent malformation and aneurysm","volume":"90","author":"Karsy M","year":"2016","unstructured":"Karsy M, Raheja A, Guan J, Osborn AG, Couldwell WT Scalp arteriovenous malformation with concomitant, flow-dependent malformation and aneurysm. World Neurosurg. 2016;90:708.e5\u2013708.e9."},{"key":"b3","series-title":"Clin Neurol Neurosurg.","first-page":"106437","article-title":"Contemporary management of scalp cirsoid aneurysm: a dual-trained neurosurgeon\u2019s perspective","volume":"201","author":"Furtado SV","year":"2021","unstructured":"Furtado SV, Srinivasa R, Vala K, Mohan D Contemporary management of scalp cirsoid aneurysm: a dual-trained neurosurgeon\u2019s perspective. Clin Neurol Neurosurg. 2021;201:106437."},{"key":"b4","series-title":"Int J Surg Case Rep.","first-page":"250","article-title":"Surgical management of scalp arteriovenous malformations using a novel surgical technique-Case series","volume":"37","author":"Gangadharaswamy SB","year":"2017","unstructured":"Gangadharaswamy SB, Maulyavantham Nagaraj N, Pai BS Surgical management of scalp arteriovenous malformations using a novel surgical technique-Case series. Int J Surg Case Rep. 2017;37:250\u2013253."},{"issue":"3","key":"b5","series-title":"Neurosurg Rev.","first-page":"208","article-title":"Cirsoid aneurysms of the scalp","volume":"29","author":"Gurkanlar D","year":"2006","unstructured":"Gurkanlar D, Gonul M, Solmaz I, Gonul E Cirsoid aneurysms of the scalp. 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World Neurosurg. 2017;107:692\u2013697."},{"issue":"4","key":"b8","series-title":"Neurosurgery.","first-page":"656","article-title":"Arteriovenous malformations of the scalp","volume":"36","author":"Fisher-Jeffes ND","year":"1995","unstructured":"Fisher-Jeffes ND, Domingo Z, Madden M, de Villiers JC Arteriovenous malformations of the scalp. Neurosurgery. 1995;36(4):656\u2013660, discussion 660."},{"issue":"4","key":"b9","series-title":"Neurol India.","first-page":"478","article-title":"Scalp arteriovenous malformations","volume":"52","author":"Shenoy SN","year":"2004","unstructured":"Shenoy SN, Raja A Scalp arteriovenous malformations. Neurol India. 2004;52(4):478\u2013481."},{"issue":"1","key":"b10","series-title":"J Neurosci Rural Pract.","first-page":"95","article-title":"Cirsoid aneurysm of scalp","volume":"3","author":"Tauro LF","year":"2012","unstructured":"Tauro LF, Suhith G, Shetty P, Rao D Cirsoid aneurysm of scalp. J Neurosci Rural Pract. 2012;3(1):95\u201396."},{"issue":"2","key":"b11","series-title":"Neurosurgery.","first-page":"E98","article-title":"Scalp cirsoid aneurysms: case illustration and systematic review of literature","volume":"86","author":"Sofela A","year":"2020","unstructured":"Sofela A, Osunronbi T, Hettige S Scalp cirsoid aneurysms: case illustration and systematic review of literature. Neurosurgery. 2020;86(2):E98\u2013E107."},{"key":"b12","series-title":"World Neurosurg.","first-page":"e600","article-title":"surgical excision of cirsoid aneurysm of the scalp: case series and review of the literature","volume":"155","author":"Karki M","year":"2021","unstructured":"Karki M, Roka YB surgical excision of cirsoid aneurysm of the scalp: case series and review of the literature. 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Ann Med Surg (Lond). 2022;76:103479."},{"issue":"3","key":"b19","series-title":"Asian J Neurosurg.","first-page":"259","article-title":"Conquering the odds: cirsoid aneurysm with holocranial feeders-staged embolization, excision and grafting","volume":"10","author":"Munakomi S","year":"2015","unstructured":"Munakomi S, Bhattarai B, Cherian I Conquering the odds: cirsoid aneurysm with holocranial feeders-staged embolization, excision and grafting. Asian J Neurosurg. 2015;10(3):259\u2013261."},{"issue":"2","key":"b20","series-title":"Pakistan Journal of Neurological Sciences.","first-page":"74","article-title":"Cirsoid aneurysm with impending rupture","volume":"4","author":"Agrawal A","year":"2009","unstructured":"Agrawal A Cirsoid aneurysm with impending rupture. Pakistan Journal of Neurological Sciences. 2009;4(2):74\u201376."},{"key":"b1","series-title":"World Neurosurg.","first-page":"416","article-title":"Scalp cirsoid aneurysm: an updated systematic literature review and an illustrative case report","volume":"119","author":"Albuquerque Sousa LH","year":"2018","unstructured":"Albuquerque Sousa LH, Maranha Gatto LA, Demartini Junior Z, Koppe GL Scalp cirsoid aneurysm: an updated systematic literature review and an illustrative case report. World Neurosurg. 2018;119:416\u2013427."},{"key":"b2","series-title":"World Neurosurg.","first-page":"708.e5","article-title":"Scalp arteriovenous malformation with concomitant, flow-dependent malformation and aneurysm","volume":"90","author":"Karsy M","year":"2016","unstructured":"Karsy M, Raheja A, Guan J, Osborn AG, Couldwell WT Scalp arteriovenous malformation with concomitant, flow-dependent malformation and aneurysm. 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Acta Neurochir (Wien). 2002;144(4):349\u2013356."},{"key":"b7","series-title":"World Neurosurg.","first-page":"692","article-title":"Transvenous endovascular treatment for scalp arteriovenous fistulas: results with combined use of onyx and coils","volume":"107","author":"Ni W","year":"2017","unstructured":"Ni W, Tian Y, Gu Y, Mao Y Transvenous endovascular treatment for scalp arteriovenous fistulas: results with combined use of onyx and coils. World Neurosurg. 2017;107:692\u2013697."},{"issue":"4","key":"b8","series-title":"Neurosurgery.","first-page":"656","article-title":"Arteriovenous malformations of the scalp","volume":"36","author":"Fisher-Jeffes ND","year":"1995","unstructured":"Fisher-Jeffes ND, Domingo Z, Madden M, de Villiers JC Arteriovenous malformations of the scalp. 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World Neurosurg. 2021;150:e756\u2013e764."},{"issue":"3","key":"b14","series-title":"Br J Neurosurg.","first-page":"371","article-title":"Management of scalp arterio-venous malformation: case series and review of literature","volume":"26","author":"Kumar R","year":"2012","unstructured":"Kumar R, Sharma G, Sharma BS Management of scalp arterio-venous malformation: case series and review of literature. Br J Neurosurg. 2012;26(3):371\u2013377."},{"issue":"4","key":"b15","series-title":"Asian J Neurosurg.","first-page":"191","article-title":"Results of surgical excision of cirsoid aneurysm of the scalp without preoperative interventions","volume":"7","author":"El Shazly AA","year":"2012","unstructured":"El Shazly AA, Saoud KMF Results of surgical excision of cirsoid aneurysm of the scalp without preoperative interventions. 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