Massive cephalic arteriovenous malformation management

Arteriovenous malformations (AVMs) of the frontal region are rare lesions. These vascular anomalies are due to abnormal communications between the nourishing arteries and the draining veins. Due to the hemodynamic nature of these vascular lesions and, sometimes their unpredictable development, they are very difficult to treat. Their multidisciplinary management, which generally requires collaboration between the radiologist, the dermatologist and the surgeon, has grown, thanks to imaging progress and specially endovascular methods.

We report the case of a patient operated in our service for a massive AVM of the frontal region, extended to the scalp. We will discuss the difficulties in the management of this pathology in an emergency situation, as well as a review of the literature.