Microsurgical resection of a scalp arteriovenous fistula with intracranial drainage: an illustrative case.

Abdullah Keles, Ufuk Erginoglu, Mete Ugur, Kelsey Bowman, Beverly Aagaard-Kienitz, Mustafa K Baskaya

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Article in Neurosurgical focus: Video, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Abdullah KelesDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Ufuk ErginogluDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Mete UgurDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Kelsey BowmanDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Beverly Aagaard-KienitzDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Mustafa K BaskayaDepartment of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scalp arteriovenous fistulas are abnormal connections between scalp arteries and draining veins without an intervening capillary bed. They may present as discolored nodules or pulsatile soft scalp lesions. These lesions are most commonly fed by the superficial temporal and occipital arteries with venous drainage typically occurring through extracranial veins. Intracranial venous drainage is rare. Management options include surgical excision, endovascular embolization, or direct intralesional sclerosing agent injection. Here the authors present a case of a scalp arteriovenous fistula with intracranial drainage treated with microsurgical resection by an expert interdisciplinary team, highlighting the importance of collaborative, tailored treatment strategies for optimal outcomes. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID25109.

Indexed as

cirsoid aneurysmemissary veinoccipital arteryopen vascular surgeryscalp arteriovenous fistulasuperior sagittal sinus

Identifiers

PMID41113727

DOI10.3171/2025.7.FOCVID25109

PMCPMC12530628

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