Pseudoaneurysm Of Superficial Temporal Artery Research Articles

Traumatic pseudoaneurysm of the superficial temporal artery: a case report

Pseudoaneurysms of superficial temporal artery are very rare and commonly occur as a result of blunt trauma. There are several methods for the diagnosis, but the diagnosis can be accurately made only from a history and physical examination. A 27-year-old man presented with a painless pulsatile mass over his right temporal region after a blunt head trauma. The diagnosis was suspected to be superficial temporal artery pseudoaneurysm. The patient underwent surgical exploration and the mass was resected. Histopathological findings confirmed the diagnosis of pseudoaneurysm. Superficial temporal artery pseudoaneurysm can be easily diagnosed through an accurate history and physical examination alone. Diagnostic methods can be used in complicated cases.

Spontaneous Superficial Temporal Artery Pseudoaneurysm in Elderly Women -Three Case Reports-

Three women older than 75 years presented with spontaneous superficial temporal artery (STA) pseudoaneurysms manifesting as a pulsatile mass in the preauricular region. None of the patients had a history of trauma. Histological examination of the surgically removed masses identified pseudoaneurysms based on the presence of connective tissue and adventitia. Spontaneous STA pseudoaneurysms are extremely rare. We suggest that all 3 aneurysms were associated with latent dissection and external force exerted by the frames of glasses.

A rare cause of a parotid mass: spontaneous pseudoaneurysm of the superficial temporal artery

I read with great interest an article by Woodhouse et al. 3 Woodhouse N.R. Gok G. Saha S. Howlett D.C. A rare cause of a parotid mass: spontaneous pseudoaneurysm of the superficial temporal artery. Int J Oral Maxillofac Surg. 2010; https://doi.org/10.1016/j.ijom.2010.06.010 Abstract Full Text Full Text PDF Scopus (10) Google Scholar about spontaneous superficial temporal artery pseudoaneurysm mimicking as a parotid mass. The case is very interesting but I have two observations on article. A rare cause of a parotid mass: spontaneous pseudoaneurysm of the superficial temporal arteryInternational Journal of Oral and Maxillofacial SurgeryVol. 39Issue 12PreviewThe authors describe a rare presentation of a spontaneous pseudoaneurysm of the superficial temporal artery which mimicked a parotid neoplasm. The clinical presentation, possible aetiology, diagnosis, and management of this condition are discussed. Full-Text PDF

Management of non-giant cell arteritis disease of the superficial temporal artery

Non-giant cell arteritis disease of the superficial temporal artery (STA) is rare, appearing only as case reports in the literature. There were nine patients with STA pathology. STA aneurysm (n = 1), pseudoaneurysm (n = 4), thrombosis (n = 1), and arteriovenous malformation (n = 3). Four patients had ligation and excision, three had percutaneous interventions and one had a combination of both. All patients had immediate technical success and eight of the nine total patients had follow-up. We present a variety of ways to approach these unusual pathologies with percutaneous and open techniques demonstrating very good early outcome.

The Pott’s puffy tumor: an unusual complication of frontal sinusitis, Methods for its detection

This is a case report of a Pott's puffy tumor, characterized by a subperiosteal abscess associated with frontal bone osteomyelitis, as a consequence of a frontal sinusitis, in a 15-year-old boy. Pott's puffy tumor is a rare condition usually seen as a complication of frontal sinusitis and more commonly described in children. Given that, superficial temporal artery pseudoaneurysms might be interpreted as a cyst or lipoma, it is imperative that physicians be aware of their presentation.

Life-threatening bleeding and radiologic intervention after aesthetic surgeries with minimal invasive approaches: Report of two cases

In this article, the authors report two cases of life-threatening bleeding after cosmetic surgeries that have been successfully treated with radiologic intervention. A 25-year-old female and a 35-year-old female presented at their institutions because of postoperative bleeding after intraoral mandibular angle ostectomy and endoscopic-guided trans-axillary breast augmentation, respectively. A ruptured traumatic pseudo-aneurysm of the right superficial temporal artery was diagnosed in the first case and a haematoma posterior to the right pectoralis major, due to active bleeding from a perforator of internal mammary artery, in the second case. Attempts were made to stop the haemorrhage using standard methods, but failed. Therefore, superselective microcatheter angioembolisation has been successfully performed in both the cases. At 22-month follow-up for the first case and at 12-month follow-up for the second case, the patients are asymptomatic and the cosmetic outcomes are being preserved. With radiologic intervention, the authors gained satisfactory results in the above-mentioned situations. Using this, with only local anaesthesia and the absence of incisions, a precise approach with immediate treatment to the haemorrhaging site is possible. This can be an excellent solution for arterial bleeding that is difficult to access anatomically after aesthetic surgeries, and in selected cases. Furthermore, this procedure is less disfiguring and preserves the aesthetic surgery outcomes.

Pseudoaneurysm of the superficial temporal artery following revision of a middle cerebral artery aneurysm clipping: case report and review of the literature.

Pseudoaneurysms of the superficial temporal artery are mostly traumatic in origin. Here, a case of a superficial temporal artery aneurysm that emerged following a recraniotomy is presented. A 59-year-old woman was admitted with subarachnoid hemorrhage. She underwent a pterional craniotomy and clipping of a saccular aneurysm of middle cerebral artery bifurcation. A control digital subtraction angiography on the 3rd postoperative day revealed partial filling of the aneurysm and a revision was performed. The second control digital subtraction angiography on the 4th postoperative day of the revision showed a pseudoaneurysm of the left superficial temporal artery. The pseudoaneurysm was excised successfully under local anesthesia. In conclusion, pseudoaneurysm of the superficial temporal artery should be considered among the early postoperative complications of the surgical procedures at the superficial temporal artery territory. Although some conservative approaches are used, excision of the aneurysm is recommended for treatment.

Superficial temporal artery pseudoaneurysm: first reported case after parotid surgery

To describe a case of superficial temporal artery pseudoaneurysm occurring as a rare complication of parotid surgery (to the authors' knowledge, the first such case reported), to review the aetiology of superficial temporal artery pseudoaneurysm, and to highlight pseudoaneurysm as a cause of facial swelling after parotidectomy. A literature search of the PubMed and EMBASE databases was carried out using the Medical Subject Heading key words 'superficial temporal artery', 'aneurysm', 'pseudoaneurysm' and 'parotid'. No previously reported cases of superficial temporal artery aneurysm or pseudoaneurysm following parotid surgery were identified. Pseudoaneurysm of the superficial temporal artery is a rare complication of parotid surgery which has not previously been reported.

Superficial temporal artery pseudoaneurysm: ultrasonographic diagnosis in the ED

Superficial temporal artery pseudoaneurysm (STAP) is an uncommon complication of blunt and penetrating trauma. It accounts for only 1% of all traumatic aneurysms. Superficial temporal artery pseudoaneurysm usually has the characteristic appearance of a cystic pulsatile mass in the region of the superficial temporal artery. Here we present a case of posttraumatic STAP detected by US in the emergency department (ED). A 58-year-old woman presented to our ED with a tender right frontoparietal mass. Two weeks before presentation, the patient was involved in a motor vehicle accident (MVA) and was taken to the state hospital where the result of a computed tomography scan of the head was shown to be normal except for right frontoparietal soft tissue swelling and hematoma formation. A few days after discharge, the diameter of the soft tissue swelling decreased and the patient was well.However, 2 weeks after the MVA, the patient presented to our ED with a throbbing headache and dramatic increase in the diameter of the lesion. Examination showed a 5 x 5-cm swelling, which was soft, tender, and fluctuant on palpation. The swelling was not pulsatile. Ultrasound was performed using a 7.5-MHz probe and demonstrated a well-defined, pulsatile, anechoic mass measuring approximately 50 x 50 mm in diameter. Ultrasound is a valuable and readily available tool in the ED to confirm the diagnosis.

Enlarging Trauma-Induced Superficial Temporal Artery Pseudoaneurysm

Introduction Pseudoaneurysm of the superficial temporal artery is rare and most often the result of blunt trauma to the head. Thomas Bartholin first observed and reported on this phenomenon in 1740. Case Report Presented is the case of an 18-year-old man referred for the evaluation of a pulsatile mass over the left temple that developed after an altercation occurring in the preceding 2 months. Methods Duplex ultrasound examination was performed with the use of a Philips IU22 (Bothell, WA) with a 17–5 MHz linear transducer. Results Fusiform dilation of the frontal branch of the superficial temporal artery was noted, measuring 0.6 × 0.8 cm and containing echogenic material. The proximal segment of the artery measured 0.2 × 0.2 cm. A follow-up scan was performed 6 weeks later demonstrating enlargement of the aneurysm to 0.6 × 1.2 cm with additional homogeneous thrombus. The aneurysm was resected, followed by suture ligation of the inflow and outflow arteries. Pathologic description was consistent with a dilated segment of artery filled with organizing granulating tissue and focal areas of thrombosis. The wall of the aneurysm consisted of fibrous tissue only, with no evidence of a muscular layer. No evidence of inflammatory infiltrate or giant cells was identified. Conclusions Aneurysms may be saccular or fusiform and may be true or false. Aneurysmal dilation is identified when a vessel measures 1.5 times the diameter of the proximal segment. A true aneurysm will involve all layers of the vessel wall, whereas a false aneurysm (pseudoaneurysm) is identified when less than all layers of the vessel wall are involved. Aneurysms resulting from a single traumatic event, such as the one described in the present case report, are most often pseudoaneurysms. The superficial temporal artery and its branches are readily and accurately evaluated and characterized by duplex ultrasound.

Traumatic Pseudoaneurysm of the Superficial Temporal Artery

A 34-year-old man presented 1 week status post assault with a left orbital floor fracture for which he underwent repair. Approximately 3 weeks following the blunt trauma, he was noted to have a pulsatile mass over the left temple. CT angiography was performed to confirm the diagnosis of a superficial temporal artery pseudoaneurysm. The patient underwent excision of the involved segment because of concern for possible rupture and pain from the lesion. Although rare, it is important to be aware of superficial temporal artery pseudoaneurysms following blunt trauma to the side of the head.

Pseudoaneurysm of the superficial temporal artery

A 15-year-old boy developed a superficial temporal artery pseudoaneurysm as a result of blunt trauma to the left temporal area. The diagnosis was based on the ultrasonographic appearance. The left temporal region was explored, and haemostasis resulted in complete resolution of the swelling.

Pre-auricular mass. Pseudoaneurysm of the superficial temporal artery.

Pre-auricular mass. Pseudoaneurysm of the superficial temporal artery.

Bilateral Pseudoaneurysms of the Superficial Temporal Artery Following Reconstruction of the Frontal Sinus: A Case Report

Superficial temporal artery (STA) aneurysms are a rare entity comprising less than 1% of aneurysms.1 In 1998, Cheng et al’s2 review of the literature revealed that approximately 200 cases were reported since Thomas Bartholin first described the phenomenon in 1740.2 The terms “aneurysm” and “pseudoaneurysm of STA” are used interchangeably in the literature. However, Peick et al1 indicated that only 11 cases of true aneurysms were reported prior to 1955. Hence, pseudoaneurysm, a lesion involving a partial tear of the arterial wall, is the preferred term.

Percutaneous thrombin embolization of a post-traumatic superficial temporal artery pseudoaneurysm

Pseudoaneurysm of the superficial temporal artery is rare in children and is frequently a result of direct facial trauma. Conventional management has included surgical ligation and resection and more recently endovascular embolization to prevent complications including local pain, headache, facial disfigurement and bleeding. We report a unique case of a US-guided percutaneous thrombin injection for the treatment of a post-traumatic superficial temporal artery pseudoaneurysm in a child.

‘Not just an ordinary bump to the head’: traumatic superficial temporal artery false aneurysm

A 79-year-old man who came to a general surgical clinic for evaluation of his asymptomatic bilateral inguinal herniae was noticed incidentally to have a swelling over his right temporal bone (Figure 1). The patient had injured his head 6 weeks previously following a fall, and this was thought by the GP to be a small haematoma that would eventually settle. Since then, the swelling had progressively become larger and tender. On examination, he had a 3 cm diameter pulsatile mass over his temporal bone, which on clinical grounds represented a superficial temporal artery pseudoaneurysm. With the view that the aneurysm was likely to enlarge and rupture, it was arranged for the patient to undergo an urgent operation to remove it. A cervical block supplemented by 10 ml 1% lignocaine locally was used as the patient was unfit for a general anaesthetic. A transverse incision was made just anterior to the tragus in order to ligate the superficial temporal artery, thus gaining proximal control of the blood supply to the pseudoaneurysm. Excision of the pseudoaneurysm (Figure 2) was then undertaken through a second elliptical incision over the swelling. Distal ligation was not required as the lumen of the superficial temporal artery was obliterated. The patient recovered well from the operation and was discharged on the same day.

Superficial Temporal Artery Pseudoaneurysm: A Conservative Approach in a Critically Ill Patient

A 71-year-old man affected by cardio- and cerebrovascular disease experienced an accidental fall and trauma to the fronto-temporal area of the head. A few weeks later a growing mass appeared on his scalp. A diagnosis of superficial temporal artery pseudoaneurysm was made following CT and color Doppler ultrasound. His clinical condition favoured a conservative approach by ultrasound-guided compression and subsequent surgical resection. A conservative approach should be considered the treatment of choice in critically ill patients affected by superficial temporal artery pseudoaneurysm.

Percutaneous Ultrasound-Guided Thrombin Injection for Coagulation of a Post-Traumatic Superficial Temporal Artery Pseudoaneurysm

Introduction Pseudoaneurysm of the superficial temporal artery (STA) is rare and most commonly caused by blunt trauma. The STA is the most frequent site of traumatic aneurysm in the face because of its anatomic location. The diagnosis is easily confirmed by color duplex ultrasound. The usual treatment is surgical ligation and resection. This type of pseudoaneurysm can be successfully treated by ultrasound-guided injection of thrombin, which is easy, quick, and cost-effective. Case report A 71-year old man on Coumadin therapy fell out of bed and lacerated his right forehead. A pulsatile mass under the laceration was imaged with color duplex ultrasound, which demonstrated a 1.5- x 1.0-cm pseudoaneurysm off a branch of the STA, 6 mm below the skin line. Under ultrasound guidance, a 21-gauge needle was introduced into the pseudoaneurysm and 300 units of thrombin was injected into the sac with complete thrombosis of the pseudoaneurysm cavity. The STA remained patent after the procedure, and the pseudoaneurysm remained thrombosed after the procedure. Conclusions Post-traumatic STA pseudoaneurysm can be safely and successfully treated with ultrasound-guided injection of thrombin. Percutaneous ultrasound-guided injection of thrombin for repair of post-traumatic STA pseudoaneurysm is a fast, safe, and effective alternative to surgical repair resulting in rapid thrombosis of the pseudoaneurysm.

Traumatic pseudoaneurysm of the superficial temporal artery treated by endovascular coil embolization

We describe an exceptional case of a traumatic pseudoaneurysm of the superficial temporal artery (STA), which was treated with microcoil embolization of the anterior branch of the STA. We conclude that endovascular coil embolization can be an option of in the treatment of STA pseudoaneurysms.

Von Willebrand Disease Associated with Superficial Temporal Artery Pseudoaneurysm

We report on two patients with von Willebrand disease (vWD) that presented with superficial temporal artery pseudoaneurysms following minor blunt trauma. We discuss the possible pathophysiological link between vWD and blood vessel abnormalities. The cases highlight the importance of considering the diagnosis of vWD in patients presenting with pseudoaneurysm.