sQUIZ your Knowledge! Extensive scalp necrosis

Extensive scalp-lifting is a technique that involves undermining and advancement of the entire occipitoparietal scalp in an upward and inward direction. Because such a large area is undermined with this operation, scalp necrosis can occur at the nuchal ridge. Although the incidence of this complication has been virtually eliminated by using prior ligations of the occipital arteries through vertical incisions, the possibility still exists. This article, therefore, is written to briefly point out methods to significantly reduce the incidence and magnitude of the necroses and ways to repair this complication should it appear. A combination of a V-T plasty and cluster harvesting is used for amelioration of this problem should it occur and is hence demonstrated.

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Scalp Necrosis Associated with Giant-Cell Arteritis

New England Journal of Medicine ◽

10.1056/nejmicm1505378 ◽

2016 ◽

Vol 374 (6) ◽

pp. e6 ◽

Cited By ~ 4

Author(s):

Qasim Akram ◽

Hector Chinoy

Keyword(s):

Giant Cell Arteritis ◽

Giant Cell ◽

Scalp Necrosis

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Rare Manifestation of Scalp Necrosis in Temporal Arteritis

Archives of Dermatology ◽

10.1001/archderm.143.8.1079 ◽

2007 ◽

Vol 143 (8) ◽

pp. 1073 ◽

Cited By ~ 4

Author(s):

William Brodie Adams

Keyword(s):

Temporal Arteritis ◽

Scalp Necrosis ◽

Rare Manifestation

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Case Number 24: Scalp necrosis in giant cell arteritis

Annals of the Rheumatic Diseases ◽

10.1136/ard.61.7.590 ◽

2002 ◽

Vol 61 (7) ◽

pp. 590-590 ◽

Cited By ~ 1

Author(s):

F H Khattak

Keyword(s):

Giant Cell Arteritis ◽

Giant Cell ◽

Scalp Necrosis ◽

Case Number

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An unusual presentation of giant cell arteritis

VASA ◽

10.1024/0301-1526.34.2.128 ◽

2005 ◽

Vol 34 (2) ◽

pp. 128-130 ◽

Cited By ~ 8

Author(s):

Simon ◽

Fritz ◽

Amann-Vesti ◽

Schenk Romer ◽

Fischer ◽

...

Keyword(s):

Giant Cell Arteritis ◽

Giant Cell ◽

Nasal Septum ◽

Rare Complication ◽

Temporal Artery ◽

Temporal Artery Biopsy ◽

Elderly Persons ◽

First Case ◽

Scalp Necrosis ◽

Vessel Involvement

A 77-year-old-man with giant cell arteritis who developed bitemporal scalp ulcerations is described. Since 1946 when Cooke et al. reported the first case of scalp necrosis there were approximately 55 cases published. Scalp ulceration is a rare complication of giant cell arteritis and occurs mainly in elderly persons, particularly women. About half of all patients were presented to dermatologists. Most of the patients (70%) had other serious complications of giant cell arteritis: blindness, gangrene of the tongue and nasal septum necrosis. Seventy percent of the cases were confirmed by a temporal artery biopsy. The necrosis were of varying extent and uni- or bilateral. Although, in most cases necrosis has been located bilaterally as in the presented case. Scalp healing was complete nearly in all patients by conservative treatment within a year. Scalp ulceration is a potentially reversible complication of giant cell arteritis which indicates extensive vessel involvement and adequate coricosteroid therapy is required and essential.

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