Chronic Scalp Ulceration as a Late Complication of Fluoroscopically Guided Cerebral Aneurysm Embolization

Fluoroscopy-induced chronic radiation dermatitis resulting from prolonged exposure to ionizing radiation during interventional procedures has been documented in the medical literature. However, this condition often requires a high clinical suspicion in order to establish a correct diagnosis. In this...

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Published inDermatology (Basel) Vol. 224; no. 3; pp. 198 - 203
Main Authors López Aventín, Daniel, Gil, Inmaculada, López González, Demian Manzano, Pujol, Ramon M.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.07.2012
Subjects
Aneurysm
Aneurysms
Case and Review
Chronic Disease
Clinical Protocols
Dermatitis
Dermatology
Embolization, Therapeutic - adverse effects
Fluoroscopy - adverse effects
Humans
Intracranial Aneurysm - therapy
Male
Middle Aged
Neurosurgery
Radiodermatitis - etiology
Radiodermatitis - surgery
Scalp Dermatoses - etiology
Scalp Dermatoses - surgery
Severity of Illness Index
Skin Ulcer - etiology
Skin Ulcer - surgery
Surgical Flaps
Fluoroscopy
Radiation dermatitis
Ulceration
Neurovascular embolization
Scalp
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Summary:Fluoroscopy-induced chronic radiation dermatitis resulting from prolonged exposure to ionizing radiation during interventional procedures has been documented in the medical literature. However, this condition often requires a high clinical suspicion in order to establish a correct diagnosis. In this report, the development of deep scalp ulceration with bone exposure following the endovascular coiling of an anterior communicating artery aneurysm 8 years before is described. A skin biopsy specimen demonstrated changes consistent with chronic radiation dermatitis and ruled out malignancy. This case report expands the clinical manifestation spectrum of fluoroscopy-induced chronic radiation skin injury and highlights the importance of recognizing these lesions early to prevent morbidity related to radiation-induced skin damage.
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ISSN:1018-8665
1421-9832
DOI:10.1159/000338891