Cirsoid Aneurysm Treatment
A Cirsoid Aneurysm is a rare abnormal connection between arteries and veins in the scalp without normal capillary blood flow. These vascular lesions commonly appear as a pulsating scalp swelling and may gradually increase in size over time.
Common Symptoms
Patients may experience:
Pulsating swelling on the scalp
Throbbing headaches
Pain or discomfort over the lesion
Buzzing sound (bruit/tinnitus)
Cosmetic deformity
Scalp swelling after head injury or trauma
In some cases, the lesion may enlarge during puberty, pregnancy, or hormonal changes.
Diagnosis
Diagnosis is usually based on clinical examination and advanced imaging tests such as:
Cerebral Angiography
MRI / MRA
CT Angiography
These tests help identify the feeding arteries, draining veins, and extent of the vascular malformation.
Advanced Treatment Options
Modern minimally invasive neurovascular treatments may include:
Direct puncture embolization
Transarterial embolization
Transvenous embolization
Injection of embolic agents (NBCA/sclerosants)
Surgical excision in selected cases
These techniques help reduce blood flow to the lesion while preserving surrounding scalp tissue and improving cosmetic appearance.
Why Early Treatment Matters
Early treatment helps prevent:
Progressive enlargement
Cosmetic disfigurement
Pain and headaches
Rare bleeding complications
Dr. Sukalyan Purkayastha provides advanced minimally invasive neurovascular treatment for Cirsoid Aneurysm with a focus on precision, safety, cosmetic outcome, and long-term patient care.
Therapy / Treatment
Treatment aims to block abnormal blood flow between scalp arteries and veins.
Direct puncture embolization may be used to close the abnormal vascular channels.
Transarterial or transvenous embolization may be added in selected cases.
Surgery may be considered when needed for cosmetic correction or complete removal.
Early treatment can reduce swelling, pain, pulsation, and cosmetic deformity.
FAQs
No. It usually affects scalp blood vessels, not the brain itself.
Yes. It may gradually enlarge, especially after trauma or hormonal changes.
A pulsating scalp swelling is one of the most common symptoms.