PDF herunterladen
Open Access
CC BY 4.0 · Arch Plast Surg 2025; 52(06): 341-346
DOI: 10.1055/a-2688-3865
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Forehead Arteriovenous Malformation Embolization Complicated by Glue Migration into the Cavernous Sinus: A Case Report of a Rare Complication

Autor*innen

  • Khalifa Al Alawi 

    1   Department of Plastic and Reconstructive Surgery, Hamad Medical Cooperation, Doha, Qatar

  • Alreem Al Khayarin 

    1   Department of Plastic and Reconstructive Surgery, Hamad Medical Cooperation, Doha, Qatar

  • Fatma Al Habsi 

    2   Department of Plastic and Reconstructive Surgery, Khoula Hospital, Muscat, The Sultanate of Oman

  • Najla Al Meraikhi 

    3   College of Medicine, Qatar University, Qatar

  • Mohudoom Meera Sahib 

    2   Department of Plastic and Reconstructive Surgery, Khoula Hospital, Muscat, The Sultanate of Oman

  • Taimoor Al Balushi 

    2   Department of Plastic and Reconstructive Surgery, Khoula Hospital, Muscat, The Sultanate of Oman

Funding None.
Weitere Informationen
  Lizenzen und Reprints

Abstract

Arteriovenous malformations (AVMs) are uncommon congenital vascular anomalies characterized by direct, high-flow connections between arteries and veins. Forehead AVMs present unique challenges due to their aesthetic considerations, risk of complications, and proximity to critical neurovascular structures. A 26-year-old male presented with a pulsatile forehead swelling present since birth, which gradually increased in size. Doppler ultrasound and magnetic resonance imaging (MRI) revealed a forehead AVM fed by branches from the superficial temporal and ophthalmic arteries, without evidence of intracranial extension. Presurgical embolization using cyanoacrylate glue achieved 90% occlusion. However, the procedure was complicated by glue migration into the cavernous sinuses, resulting in headache and dizziness. The patient was initially managed with low-molecular-weight heparin and close clinical observation. Definitive surgical resection was performed successfully 1 month later. The wound healed without complications, and no recurrence was observed during 6 months of follow-up. This case highlights the importance of a multidisciplinary approach in managing AVMs and emphasizes the need to balance embolization risks with therapeutic benefits to achieve optimal outcomes.

Keywords

arteriovenous malformation - sclerotherapy - craniofacial tumor

Authors' Contributions

K.A.A.: Ethical approval, manuscript writing, submission.


A.A.K.: Discussion writing.


F.A.H.: Data collection, case presentation writing.


N.A.M.: Discussion writing.


M.M.S.: Imaging retrieval, supervision.


T.A.B.: Supervision, case conception.


Ethical Approval

Ethical approval was waived by the Ethical Committee of Khoula Hospital.


Patient Consent

Written informed consent was obtained from the patient to publish their personal photograph and investigation images in the manuscript.




Publikationsverlauf

Eingereicht: 10. Januar 2025

Angenommen: 20. August 2025

Accepted Manuscript online:
22. August 2025

Artikel online veröffentlicht:
20. November 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA