BACKGROUND: @entity439 ( @entity2548 ) of the scalp are rare lesions. They are infrequently encountered in neurosurgical practice. These lesions are difficult to manage because of their complex vascular anatomy, high shunt flow and cosmetic disfigurement. We report our experience in the surgical management of these lesions. METHODS: We treated 11 @entity1 with cirsoid @entity439 surgically. All except one @entity1 were males who were in the second and third decades of life. History of @entity130 was present in 6 @entity1 . In one @entity1 , the lesion had been present since birth. Occipital and frontal regions were the sites commonly involved. Superficial temporal, occipital and posterior auricular arteries were the most frequent feeding arteries. The size ranged from 3 cms to 12 cms. Following investigations were done: CT, MRI, MRA, angiography and Doppler studies. FINDINGS: Excision of the lesion was done in 8 @entity1 and en bloc resection of the lesion with the scalp with reconstruction was done in the remaining three. One among the three @entity1 who underwent en bloc resection had undergone prior surgery. None of the @entity1 underwent preoperative endovascular treatment. One @entity1 had undergone intralesional injection of sclerosing agents twice. Superficial scalp @entity39 occurred in two @entity1 but was treated successfully. All the @entity1 except one had good cosmetic results and there was no recurrence during an average follow up of 18 months. INTERPRETATION: Surgical excision with good cosmetic results is feasible in @entity1 with cirsoid @entity439 .

Surgical management of cirsoid XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'Cirsoid aneurysms'] @entity2548 :: ('MESH:D001164', 'Disease') :: ['arteriovenous fistulas'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity439 :: (MESH:D000783,Disease) :: ['aneurysms']
