Xie MC, Wang FX, Xu J. Giant vascular malformations invading the skull: A case report. World J Clin Cases 2024; 12(16): 2869-2875 [PMID: 38899294 DOI: 10.12998/wjcc.v12.i16.2869]
Corresponding Author of This Article
Jian Xu, MD, Professor, Department of Neurosurgery, The Affiliated Hospital of Qingdao University, No. 1677 Wutaishan Road, Huangdao District, Qingdao 266000, Shandong Province, China. xujianqdmc@126.com
Research Domain of This Article
Peripheral Vascular Disease
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2024; 12(16): 2869-2875 Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2869
Giant vascular malformations invading the skull: A case report
Ming-Chen Xie, Fu-Xu Wang, Jian Xu
Ming-Chen Xie, Fu-Xu Wang, Jian Xu, Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China
Author contributions: Xie MC and Wang FX wrote the article; Xu J was responsible for the case summary and full-text guidance; Xie MC was responsible for the revision and finalized the first draft. All authors contributed to the article and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images. This study was approved by the Ethics Committee of the Affiliated Hospital of Qingdao University (approval No. QYFY WZLL 27541) and in accordance with the principles of the Declaration of Helsinki.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Xu, MD, Professor, Department of Neurosurgery, The Affiliated Hospital of Qingdao University, No. 1677 Wutaishan Road, Huangdao District, Qingdao 266000, Shandong Province, China. xujianqdmc@126.com
Received: January 10, 2024 Revised: April 10, 2024 Accepted: April 18, 2024 Published online: June 6, 2024 Processing time: 139 Days and 20 Hours
Abstract
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.
Core Tip: We present a rare case of giant vascular malformation (VM) of the head and face. Combined with our study suggests that surgical resection of giant VMs is a great challenge for surgeons and should be adequately prepared preoperatively and intraoperatively. One of the preoperative preparations for surgical resection is interventional embolisation.
