Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication
Background: Arteriovenous malformations (AVMs) are uncommon congenital vascular anomalies characterized by direct, high-flow connections between arteries and veins. Forehead AVMs presents unique challenges due to their aesthetic considerations, risk of complications, and proximity to critical neurov...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
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| Series: | Archives of Plastic Surgery |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2688-3865 |
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| author | Khalifa Al Alawi Alreem Al Khayarin Fatma Al Habsi Najlaa Al Murikhi Mohudoom Meera Sahib Taimoor Al Balushi |
| author_facet | Khalifa Al Alawi Alreem Al Khayarin Fatma Al Habsi Najlaa Al Murikhi Mohudoom Meera Sahib Taimoor Al Balushi |
| author_sort | Khalifa Al Alawi |
| collection | DOAJ |
| description | Background:
Arteriovenous malformations (AVMs) are uncommon congenital vascular anomalies characterized by direct, high-flow connections between arteries and veins. Forehead AVMs presents unique challenges due to their aesthetic considerations, risk of complications, and proximity to critical neurovascular structures.
Case Presentation:
A 26-year-old male presented with a pulsatile forehead swelling present since birth, which gradually increased in size. Doppler ultrasound and MRI revealed a forehead AVM fed by branches from the superficial temporal and ophthalmic arteries, without evidence of intracranial extension. Pre-surgical embolization using cyanoacrylate glue achieved 90% occlusion. However, the procedure was complicated by glue migration into the cavernous sinuses, resulting in headache and dizziness.
Management:
The patient was initially managed with low-molecular-weight heparin and close clinical observation. Definitive surgical resection was performed successfully one month later. The wound healed without complications, and no recurrence was observed during six months of follow-up.
Conclusion:
This case highlights the importance of a multidisciplinary approach in managing AVMs and emphasizes the need to balance embolization risks with therapeutic benefits to achieve optimal outcomes.
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| format | Article |
| id | doaj-art-b8fadb419e8f486aa2f732aef0607daa |
| institution | Kabale University |
| issn | 2234-6163 2234-6171 |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-b8fadb419e8f486aa2f732aef0607daa2025-08-22T22:58:59ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-617110.1055/a-2688-3865Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complicationKhalifa Al Alawi0Alreem Al Khayarin1Fatma Al Habsi2Najlaa Al Murikhi3Mohudoom Meera Sahib4Taimoor Al Balushi5Plastic & Reconstructive Surgery, Hamad Medical CorporationPlastic & Reconstructive Surgery, Hamad Medical Corporation, Doha, QatarPlastic Surgery, Khoula Hospital, Mina Al Fahl, OmanCollege of medicine, Qatar University College of Medicine, Doha, QatarPlastic & Reconstructive Surgery, Khoula Hospital, Mina Al Fahal, OmanPlastic & Reconstructive Surgery, Khoula Hospital, Mina Al Fahal, OmanBackground: Arteriovenous malformations (AVMs) are uncommon congenital vascular anomalies characterized by direct, high-flow connections between arteries and veins. Forehead AVMs presents unique challenges due to their aesthetic considerations, risk of complications, and proximity to critical neurovascular structures. Case Presentation: A 26-year-old male presented with a pulsatile forehead swelling present since birth, which gradually increased in size. Doppler ultrasound and MRI revealed a forehead AVM fed by branches from the superficial temporal and ophthalmic arteries, without evidence of intracranial extension. Pre-surgical embolization using cyanoacrylate glue achieved 90% occlusion. However, the procedure was complicated by glue migration into the cavernous sinuses, resulting in headache and dizziness. Management: The patient was initially managed with low-molecular-weight heparin and close clinical observation. Definitive surgical resection was performed successfully one month later. The wound healed without complications, and no recurrence was observed during six months of follow-up. Conclusion: This case highlights the importance of a multidisciplinary approach in managing AVMs and emphasizes the need to balance embolization risks with therapeutic benefits to achieve optimal outcomes. http://www.thieme-connect.de/DOI/DOI?10.1055/a-2688-3865 |
| spellingShingle | Khalifa Al Alawi Alreem Al Khayarin Fatma Al Habsi Najlaa Al Murikhi Mohudoom Meera Sahib Taimoor Al Balushi Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication Archives of Plastic Surgery |
| title | Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication |
| title_full | Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication |
| title_fullStr | Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication |
| title_full_unstemmed | Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication |
| title_short | Forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus: A case report of a rare complication |
| title_sort | forehead arteriovenous malformation embolization complicated by glue migration into the cavernous sinus a case report of a rare complication |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2688-3865 |
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