Pseudoaneurysm Of Superficial Temporal Artery Research Articles

Spontaneous pseudoaneurysm of the superficial temporal artery in neurofibromatosis type 1: illustrative case.

A pseudoaneurysm of the superficial temporal artery is an uncommon clinical entity that has largely been linked with direct traumatic causes. Neurofibromatosis type 1 (NF1)-related vasculopathy is a rare cause of idiopathic arterial bleeding in the craniofacial region. A 46-year-old male with clinical features of NF1 presented to the hospital with an enlarging and tender right temporal mass without a history of trauma. Computed tomography angiography suggested the development of a pseudoaneurysm, and surgery was performed to resect the mass. Histopathological examinations showed focal interruption of the epithelium layer and elastic lamina, well-demarcated thickening of the smooth muscle layers of the arterial wall, supporting the diagnosis of pseudoaneurysm. NF1-associated vasculopathy is likely the predisposing factor for the development of a superficial temporal artery pseudoaneurysm.

Enlarging traumatic superficial temporal artery pseudoaneurysm from a lacrosse ball injury: illustrative case.

The development of a mobile, growing, pulsatile mass after blunt head trauma to the forehead area, resulting in a superficial temporal artery pseudoaneurysm, is a very rare outcome. Most pseudoaneurysms are diagnosed with ultrasound, computed tomography (CT), and/or magnetic resonance imaging and treated via resection or, occasionally, embolization. The authors describe a case of a young male lacrosse player who presented with a bulging, partially pulsatile mass in the right forehead region 2 months after trauma from a high-velocity ball striking his head while helmeted. The authors reviewed 12 patients in the literature and describe each patient's epidemiological features, nature of the trauma, and onset of the lesion after the trauma, as well as the diagnostic methods and treatments for each case. Overall, CT and ultrasound appear to be the easiest and most used methods of diagnosis, and resection under general anesthesia is the most common treatment method.

A Case of Atraumatic Pseudoaneurysm of Superficial Temporal Artery

Pseudoaneurysm of the superficial temporal artery (STA) is a rare vascular lesion that typically presents after traumatic head injury. Most of them occur mainly in the anterior branch of the STA, and their occurrence in the preauricular region without any history of trauma is very uncommon. In this article, we describe a 78-year-old female patient presenting a painless preauricular, pulsatile mass without any history of facial trauma. The mass was completely removed following ligation and division of STA both proximally and distally. In most case reports, the diagnosis was performed with thoughtful history taking and physical examination. Diagnostic imaging is especially useful in cases of STA aneurysm without any history of trauma. Herein, we present a rare case of preauricular pseudoaneurysm of STA with a literature review.

A rare case of superficial temporal artery pseudoaneurysm in a patient with neurofibromatosis type 1

Pseudoaneurysm of the superficial temporal artery (STA) is a rare clinical entity that has been linked with traumatic causes. Neurofibromatosis type I (NF-1) is an autosomal dominant disorder with known but uncommon vascular abnormalities that comprise stenoses, occlusions, aneurysms, fistulas and arteriovenous malformations. We presented a 46-year-old man with clinical features of NF-1 (e.g., café au lait spots, skin neurofibromas) coming to hospital because of a progressively enlarging and painful right temporal mass of about ping-pong ball size. He remembered having slapping a mosquito with his hands at the same area four days ago. CT angiography suggested development of a pseudoaneurysm and emergency surgery was performed to dissect the mass. Histopathological examination revealed disruption of arterial wall structures, including interruption of elastic lamina, expansion of smooth muscle layer, focal thrombosis and positive CD31 and smooth muscle actin staining, consistent with diagnosis of pseudoaneurysm. This is the first report of a STA pseudoaneurysm in patient with NF-1. Deficiency of neurofibromin may impact the integrity of vascular wall structures and predispose it to the development of pseudoaneurysm in the event of minor trauma like current case. Reference 1. Saliba E, Goldberg LJ. Superficial temporal artery pseudoaneurysm: report of two cases and review. J Cutan Pathol 2022; 49: 482–486.

두개저 골절 후 지연성으로 발생한 천측두동맥의 혈전성 가성동맥류

Pseudoaneurysms usually occur as a result of blood vessel wall injury. Only a few cases of traumatic pseudoaneurysm have been reported developing in superficial temporal artery (STA). A 79-year-old male patient came to clinic for growing scalp mass after traumatic brain injury, with history of skull base fracture three months prior to admission. The mass was pulsatile with overlying skin ulceration, located on the right parietal area. 3D-head computed tomography angiography was done to evaluate the growing scalp mass. The mass was diagnosed as a partially thrombosed traumatic pseudoaneurysm. Surgical treatment was planned and underwent ligation of STA followed by en-bloc removal of aneurysm. Herein, we report our experience on the rare case of traumatic pseudoaneurysm of STA after skull base fracture which was diagnosed correctly and treated successfully.

Enlarging Post-Traumatic Forehead Mass in Liver Failure: A Case Report and Proposed Algorithm for the Treatment of Pseudoaneurysms of the Superficial Temporal Artery

Pseudoaneurysms of the superficial temporal artery are an exceedingly rare occurrence, and as such, there is limited data regarding their optimal management. In this paper we describe a case of post-traumatic superficial temporal artery pseudoaneurysm in a patient with alcohol-induced cirrhosis, treated with a combination of interventional radiologic and surgical methods. We also perform a review of the literature to identify the pathophysiology, diagnostic, and current treatment modalities of these entities. Finally, we propose a treatment algorithm for the optimal management of superficial temporal artery pseudoaneurysms under various circumstances.

Superficial temporal artery pseudoaneurysm as cause of refractory headache

Case presentation: A 36-year-old male presented with moderate, progressive headache, in the left temporal region, irradiating to the ipsilateral frontal region, with several months of evolution, refractory to analgesic medication, including opioids. He reported a closed traumatic brain injury (TBI) 5 years before in a motorcycle collision with an automobile, without a helmet. At the physical examination, it was possible to verify a pulsatile mass measuring 1.5 cm in diameter, with fremitus, in the left temporal region. The magnetic resonance imaging scan presented a round lesion, encapsulated, on the course of the superficial temporal artery (STA). The digital subtraction angiography confirmed the diagnosis of STA pseudoaneurysm. A surgical resection of the aneurysm was performed, leading to the complete resolution of the headache. Discussion: The STA pseudoaneurysm is a rare condition, representing less than 1% of aneurysms, usually presenting as a late complication of TBI. The majority of cases are asymptomatic, although focal symptoms and even bleeding may occur. The presentation with a chronic refractory headache is exceptional. Its treatment is indicated for local symptom resolution, aesthetic purposes, and rupture prevention, done by clipping and resection of the pseudoaneurysm. Conclusion: Even though unusual, the awareness of this condition is important for the etiological diagnosis of a persistent temporal headache in a patient with a history of TBI.

Post traumatic pseudoaneurysm of the superficial temporal artery in child

Aneurysms of the superficial temporal artery (STA) were first described in 1740, yet it remains a very uncommon post traumatic entity usually associated with sporting activities in young men or recurrent falls in older patients. A 10-year-old boy presented 4 weeks after blunt trauma to the head with a slowly enlarging left temporoparietal swelling. Clinical examination revealed a pulsatile and expansive mass of 4 cm with discoloration of the overlying skin. The ultrasound revealed a pseudoaneurysm of the left anterior superficial temporal artery. Excision was performed under general anesthesia. The mass was exposed, and the proximal and distal branches were ligated. The lesion was entirely removed and hemostasis was easily obtained. Histological examination showed a lesion consistent with pseudoaneurysm. The diagnosis of aneurysms or pseudoaneurysms of the STA can usually be made based on a thorough patient history and physical examination. They are easily treated with few long-term consequences. However, left untreated theses lesions can rupture leading to significant hemorrhage or cause compression of neighboring vessels and nerves. Treatment involves external compression, thrombin injection or surgical resection.

Traumatic Superficial Temporal Artery Pseudoaneurysm Treated With Thrombin Injection

Pseudoaneurysms of the superficial temporal artery are rare. They commonly occur after blunt trauma to the frontotemporal region of the head. There have been less than 400 cases of superficial temporal artery pseudoaneurysms reported. We present a case of a patient referred for a pulsatile head mass. Physical examination and color Doppler ultrasound confirmed the diagnosis of a superficial temporal artery pseudoaneurysm (STA PSA). This was treated with ultrasound guided thrombin injection with complete resolution. Anatomical distribution, diagnosis, and treatment of STA PSA are discussed.

Traumatic pseudoaneurysms of external carotid artery branch: Case series and treatment considerations

PurposeTo explore the diagnosis and treatment of traumatic external carotid branch pseudoaneurysms. MethodsEleven cases of traumatic external carotid artery branch pseudoaneurysms were admitted in our hospital. Digital subtraction angiography was performed in all patients. It revealed that the pseudoaneurysms originated from the internal maxillary artery in 5 cases, superficial temporal artery in 5 cases and occipital artery in 1 case. Five cases of internal maxillary artery pseudoaneurysms and 2 cases of superficial temporal artery pseudoaneurysms were treated by embolization; the other 3 cases were surgically resected. ResultsComplete cessation of nasal bleeding was achieved in all the 5 pseudoaneurysms of internal maxillary artery after the endovascular therapies. Scalp bleeding stopped and scalp defect healed up in 2 patients with superficial temporal artery pseudoaneurysms treated by interventional therapy. All patients were followed up for 0.5–2.0 years without recurrence of nosebleed and scalp lump. ConclusionFor patients with repeated severe epistaxis after craniocerebral injury, digital subtraction angiography should be performed as soon as possible to confirm traumatic pseudoaneurysm. Endovascular therapy is an effective method for traumatic internal maxillary artery pseudoaneurysms. For patients with scalp injuries and pulsatile lumps, further examinations including digital subtraction angiography should be performed to confirm the diagnosis. Surgical treatment or endovascular therapy for scalp traumatic pseudoaneurysm is effective.

Posttraumatic pseudoaneurysm involving the superficial temporal artery in a pediatric patient

Superior temporal artery pseudoaneurysms were first described by Thomas Bartholin in 1740, and since then approximately 400 cases have been reported in the literature. It is estimated that of aneurysms that are surgically repaired, traumatic aneurysms, pseudoaneurysms, and arteriovenous (AV) fistulas of the superficial temporal artery (STA) account for 0.5%–2.0%. Of these, only a few reported are in the pediatric population. An otherwise healthy 16-year-old male presented to UNM Pediatric Surgery Clinic with a small temporal mass in January 2020. He had previously been punched in the side of the head in August 2019 and noticed the mass after the bruising and swelling in the area had subsided. The mass was then determined to most likely be a posttraumatic pseudoaneurysm of the temporal artery, based on exam showing a 1 cm soft, mobile, pulsatile mass. A CT angiogram of the head and neck confirmed. Observation, IR intervention, and surgical removal were discussed with the patient and his mother in clinic, and they opted for surgical removal. In February 2020, he underwent an excision of left superficial temporal artery pseudoaneurysm under general anesthesia. Intraoperatively, it was noted that a part of the superficial temporal vein was densely adherent to the pseudoaneurysm, and was small inferior to the pseudoaneurysm, and engorged superiorly, concerning for a possible fistula formation. This was not confirmed intraoperatively, but a portion of the left superficial temporal vein had to be excised as there was no clear plane between the pseudoaneurysm and the vein. Pathology results did not demonstrate a fistula formation, but did confirm a pseudoaneurysm of the STA.

Surgical management of traumatic superficial temporal artery pseudoaneurysm

Surgical management of traumatic superficial temporal artery pseudoaneurysm

A false traumatic aneurysm of the superficial temporal artery: case report and literature review

Introduction: Pseudoaneurysms or false aneurysms originating from superficial temporal artery (STA) are rare and often seen as facial swellings. These forms of aneurysms often involve the intimal and media layers of the arterial wall. So far only single cases have been reported at various locations across the world since 1644. We report another unique case of traumatic STA pseudoaneurysms. Case Presentation: We present a 51-year-old man with a 1-year history of a pulsatile mass on the left forehead. He suffered a blunt trauma at the temporal region of the left forehead a year prior. Computed tomography angiography confirmed left STA pseudoaneurysms. The lesion was total resected via surgery. We reconstructed parent artery after resecting the pseudoaneurysm. The patient recovered well with an overall good cosmetic look. Conclusions: It is very necessary to report the occurrences of STA pseudoaneurysms because the swelling could be mistaken for other lesions leading to inappropriate treatment especially in facilities with no modern radiologic modalities.

Recanalisation of a Superficial Temporal Artery Pseudoaneurysm after Vascular Plug Embolisation

A 32 year old man, treated four years previously for a post-traumatic superficial temporal artery (STA) pseudoaneurysm, presented with pulsatile tinnitus. (A) Computed tomography angiography revealed a STA pseudoaneurysm (asterisk) due to recanalisation of the external carotid artery with flow through the six mm vascular plug (white arrow; Amplatzer VP-II [St Jude Medical, Minnesota, MN, USA]). Under local anaesthesia and femoral access, the pseudoaneurysm inflow was occluded with a 7 mm polymer plug with anchor coil (IMP-07; Impede [Shape Memory Medical, Santa Clara, CA, USA]) deployed proximal to the previously placed device (B, red arrow). One year after the procedure, the patient was asymptomatic.Image 1

Superficial temporal artery pseudoaneurysm after head injury in a teenager

Superficial temporal artery pseudoaneurysm after head injury in a teenager

Superficial Temporal Artery Pseudoaneurysm Following a Traumatic Haircut

Superficial temporal artery pseudoaneurysms are well known to occur following blunt trauma to the forehead, but their manifestation after penetrating trauma is considerably less often reported. A middle-aged male presented with a pulsatile mass on his forehead that had been growing slowly. He reports being accidentally cut by his barber in that location 2-3 months prior.

Case report: A traumatic superficial temporal artery pseudo-aneurysm- A rare complication following facial trauma

Case report: A traumatic superficial temporal artery pseudo-aneurysm- A rare complication following facial trauma

Pseudo-anévrisme de l’artère temporale superficielle : deux cas

Pseudoaneurysm of the superficial temporal artery causes tumefaction in the temporal region. Herein, we report two cases. Case 1: a 32-year-old man presented with a slightly pulsatile nodular formation measuring 2cm in the right temporal region that had appeared nine months after traumatic injury. A diagnosis of superficial temporal artery pseudoaneurysm was considered. Excision was performed with ligation of the afferent and efferent artery. The clinical diagnosis was confirmed by histopathology. Case 2: a 24-year-old man presented with a nonpulsatile subcutaneous tumefaction on his left temple. Surgery was proposed based on a supposed epidermal cyst. However, the perioperative aspect suggested a lesion of arterial origin and excision was performed following ligation of the afferent and efferent artery. Pseudoaneurysm of the superficial temporal artery must be considered for all temporal cutaneous formations, particularly when there is a history of trauma. The clinical diagnosis may be confirmed by Doppler ultrasound. Surgery is the treatment of reference.

Traumatic Pseudoaneurysm of the Superficial Temporal Artery: A New Case Report

Introduction: A pseudoaneurysm of the superficial temporal artery (STA) is a rare clinical entity and potentially cause of pulsatile mass in forehead or scalp following blunt trauma, the diagnosis can primarily made by the history of head trauma, physical examination and confirmed by imaging studies. Surgical excision after ligature of both ends of STA seem to be highly effective and yields excellent results.Case Presentation: We report a new case of a 25 years old male, presented with pseudoaneurysm arising from his right side of the forehead, which was removed surgically without recurrence at ten months of follow-up.Conclusions: This infrequent condition requires our attention in order to reach an early diagnosis for prompt surgical intervention.

Ruptured pseudoaneurysm of superficial temporal artery

Ruptured pseudoaneurysm of superficial temporal artery