Pulsatile Swellings In The Neck: Types And Management

Pulsatile Swellings In The Neck: Types And Management

Write short note on pulsatile swellings in neck.

Answer. Following are the pulsatile swellings in neck.

• Aneurysm

1.Arterial Hemangioma:

• An abnormal communication between artery and vein results in AV fitula.
• It is a soft, cystic, flctuant, transillumination negative, pulsatile swelling.
• A continuous bruit/murmur is characteristic.
• On compressing the feeding artery, venous return to heart diminishes which leads to fall in pulse rate and pulse pressure.

2. Cirsoid aneurysms:

• It is a rare variant of capillary hemangioma occurring in skin beneath which abnormal artery communicates with the distended veins.
• Variant of capillary hemangioma
• Pulsatile swelling
• Involves bone
• Treatment is ligation of feeding artery and excision of lesion.