• Yi-Ying Hsieh, Ching-Chang Chen, Po-Hsun Tu, Shun-Tai Yang, and Zhuo-Hao Liu.
• Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Chang Gung Medical College and University, Taoyuan, Taiwan.
• Medicine (Baltimore). 2024 Sep 20; 103 (38): e39764e39764.

RationaleBlunt traumatic arteriovenous fistula (AVF) of scalp, are uncommon and most of them can be secured by simple embolization or surgical ligation of the feeders. Our goal in writing this paper is to show patients with traumatic scalp AVFs how to prevent complications and the likelihood of recurrence.Patient ConcernsComplete treatment and reduce the recurrence rate of traumatic AVF on the scalp.DiagnosesTraumatic scalp AVF.InterventionsTransarterial embolization and surgical resection.OutcomesComplete resection of the AVF and subsequent angiography showed resolution of the contralateral lesion.LessonsCombination of endovascular embolization with subsequent surgical removal may reduce intraoperative blood loss compared with surgery alone. In addition, a well-designed scalp flap can be performed based on the angiography findings after embolization.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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