Surgical management of a ruptured cirsoid aneurysm: illustrative case
This case is unique in combining several high-risk factors rarely reported together: an acutely ruptured cirsoid aneurysm, severe thrombocytopenia, and failed endovascular embolization due to prohibitive vessel tortuosity. A successful outcome was achieved through rapid multidisciplinary coordination-integrating neurosurgical expertise for definitive nidus excision, hematological optimization, and reconstructive planning to preserve scalp integrity. https://thejns.org/doi/10.3171/CASE25508.
Authors
- Sabino Luzzi (ORCID: https://orcid.org/0000-0002-1381-8528)
- Renato Galzio (ORCID: https://orcid.org/0000-0003-1933-1355)
- Hambra Di Vitantonio
- Giuseppe Catapano (ORCID: https://orcid.org/0000-0001-6340-1985)
- Danilo De Paulis
- Massimo Gallieni (ORCID: https://orcid.org/0000-0002-5314-8581)
- Soheila Raysi Dehcordi
Institutions
- San Salvatore Hospital (IT)
- Maria Cecilia Hospital (IT)
- Fatebenefratelli Hospital (IT)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-10-27
- DOI
- https://doi.org/10.3171/case25508
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00