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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las malformaciones arteriovenosas &#40;MAV&#41; en el cuero cabelludo son lesiones vasculares muy infrecuentes&#46; Sus s&#237;ntomas son variados&#44; desde molestas y antiest&#233;ticas tumoraciones de la piel&#44; hasta hemorragias que pueden ser devastadoras&#46; Su origen puede ser cong&#233;nito o traum&#225;tico&#46; El diagn&#243;stico de las mismas es cl&#237;nico&#44; mediante la inspecci&#243;n del enfermo&#44; y la angiograf&#237;a de las car&#243;tidas interna y externa confirma el diagn&#243;stico&#46; Las posibilidades terap&#233;uticas son variadas&#44; siendo la extirpaci&#243;n quir&#250;rgica el tratamiento de elecci&#243;n&#44; aunque cada vez se utiliza m&#225;s el tratamiento endovascular como tratamiento &#250;nico o prequir&#250;rgico&#44; para disminuir las p&#233;rdidas hem&#225;ticas&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una paciente de 50 a&#241;os de edad que presentaba una gran tumoraci&#243;n en cuero cabelludo&#44; con dilataciones vasculares muy marcadas y sin otra sintomatolog&#237;a asociada&#46; Describi&#243; un antecedente traum&#225;tico hac&#237;a 12 a&#241;os&#46; La angiograf&#237;a mostr&#243; una MAV abigarrada&#44; con aporte vascular de la car&#243;tida externa y tambi&#233;n de la interna&#44; a cargo de ramas men&#237;ngeas transoseas provenientes de arterias etmoidales y dependientes de ambas arterias oft&#225;lmicas&#46; El tratamiento endovascular de los aportes intracraneales no fue posible&#44; debido al alto riesgo de amaurosis uni o bilateral&#44; por lo que la lesi&#243;n se resec&#243; quir&#250;rgicamente&#44; sin presentarse complicaciones&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El tratamiento de las MAV de cuero cabelludo ofrece diversas posibilidades pero se hace imprescindible la individualizaci&#243;n de cada caso a la hora de decidir el abordaje correcto para evitar las posibles complicaciones&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Arteriovenous malformations &#40;AVM&#41; in the scalp are infrequent vascular lesions&#46; Its clinical presentation varies from annoying and unaesthetic mass of the skin to devastating hemorrhages&#46; Its origin can be congenital or traumatic&#46; The diagnosis of AVM is based on physical examination and confirmed by internal and external carotid angiography&#46; Nowadays the gold standard treatment is the surgical intervention although the endovascular approach is gaining field in order to reduce blood losses as presurgical or like lonely treatment&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 50 year old woman was admitted with a huge mass in scalp&#44; with subcutaneous enlarged vessels and no other symptoms&#46; A head traumatic antecedent had occurred 12 years before&#46; The angiography evidenced a mottled AVM with blood supplies from the external and internal carotid arteries&#44; with meningeal transosseous branches from both ophthalmic arteries&#46; Endovascular treatment could not be performed due to high risk of uni- or bilateral amaurosis&#46; Thus&#44; a conventional surgical treatment was done without complications&#46; The treatment of AVM of scalp offers various possibilities but the individualization of each case becomes essential to decide the correct management in order to avoid complications&#46;</p>"
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Malformación arteriovenosa gigante de cuero cabelludo: caso clínico
Giant arteriovenous malformation of the scalp. Case report
M. García-Conde
, L. Martín-Viota, P. Febles-García, S. Cortés-Franco, A.M. Millán-Corada, M. Spreafico-Guerrero, E. Prada, V. García-Marín
Servicio de Neurocirugía. Hospital Universitario de Canarias. La Laguna. Santa Cruz de Tenerife

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