Abstract25 years old male admitted with a painful, generalised swelling over the right Fronto-ParietoTemporal region of scalp. He had a recent history of bleeding from different points of swelling offand on. There was a central pulsatile and bald area of 6x9 cm with collapsible subcutaneous vessels.Bruit was heard over this area. A diagnosis of cirsoid aneurysm was made. X-ray of the skull showederosion of underlying calvarium. The swelling was dealt with in two stages. Initially a unilateralsuperficial temporal vessel ligation was carried out along with ligation of some of the pulsatile veinswhich were considered to be communicating intracranally. In second stage after an interval of 3months the central area of the cirsoid was excised along with the ligature of other branches of thesuperficial temporal vessels. The scalp was mobilised all over the aneurysmal area and the dilatedveins were carefully secured and rotation flap was made to cover the skin defect. Patient madeexcellent recovery and wound healing. Patient was reviewed after 6 months at which time he wasrecurrence free.
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