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Post traumatic superficial temporal artery aneurysm: highlighting the importance in history and examination.

Sawyer O, Staruch R, Ellabban M - Eplasty (2014)

View Article: PubMed Central - PubMed

Affiliation: North Bristol Trust, Bristol.

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Literature highlights the proximal branch of the STA, at the point at which it transverses the attachment of temporalis fascia to the superior temporal line, to be the area of vessel most susceptible to aneurysm... Blunt trauma to the side of the head renders the artery vulnerable to significant crush injury against the bony projection... A review of the literature identifies that diagnosis is largely based in most of the cases on effective patient history that reveals a recent episode of blunt, or possibly penetrating, trauma to the head... Although the lesion itself is painless on examination, patients may incidentally report an associated headache since injury... Specifically, clinicians should palpate the mass with simultaneous occlusion of the temporal artery proximally... This should result in obliteration of the pulse within the mass... Typically the hematoma formed after injury to the vessel hardens and undergoes fibrosis forming a hard fibrotic capsule... Resultant luminal thrombosis and lysis allow recanalization... The fibrous scarring found surrounding the vessel can be substantial... The combination of scarring and recanalization of the thrombosis result in the increased dilated size (Figs 2 and 3)... Current surgical management of this condition consists of dissection of the scalp to reveal the defect followed by simple excision and ligation, this is considered the “gold standard” of treatment for STA aneurysms... Conservative management consists of compression of the hematoma itself, which experience has shown to be relatively ineffective, close observation as well as appropriate analgesia is more appropriate... Some studies have shown limited successes of endovascular repair of this vessel.

No MeSH data available.


Related in: MedlinePlus

Preoperative appearance of aneurysm with position marked on the skin.
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Figure 1: Preoperative appearance of aneurysm with position marked on the skin.

Mentions: A 21-year-old carpenter received a blow to the left side of the head during a rugby match but sustained no wound or loss of consciousness. Three months later, he developed a mass on the left temple that expanded in size particularly after exercise and in warm environments (Fig 1).


Post traumatic superficial temporal artery aneurysm: highlighting the importance in history and examination.

Sawyer O, Staruch R, Ellabban M - Eplasty (2014)

Preoperative appearance of aneurysm with position marked on the skin.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4282016&req=5

Figure 1: Preoperative appearance of aneurysm with position marked on the skin.
Mentions: A 21-year-old carpenter received a blow to the left side of the head during a rugby match but sustained no wound or loss of consciousness. Three months later, he developed a mass on the left temple that expanded in size particularly after exercise and in warm environments (Fig 1).

View Article: PubMed Central - PubMed

Affiliation: North Bristol Trust, Bristol.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Literature highlights the proximal branch of the STA, at the point at which it transverses the attachment of temporalis fascia to the superior temporal line, to be the area of vessel most susceptible to aneurysm... Blunt trauma to the side of the head renders the artery vulnerable to significant crush injury against the bony projection... A review of the literature identifies that diagnosis is largely based in most of the cases on effective patient history that reveals a recent episode of blunt, or possibly penetrating, trauma to the head... Although the lesion itself is painless on examination, patients may incidentally report an associated headache since injury... Specifically, clinicians should palpate the mass with simultaneous occlusion of the temporal artery proximally... This should result in obliteration of the pulse within the mass... Typically the hematoma formed after injury to the vessel hardens and undergoes fibrosis forming a hard fibrotic capsule... Resultant luminal thrombosis and lysis allow recanalization... The fibrous scarring found surrounding the vessel can be substantial... The combination of scarring and recanalization of the thrombosis result in the increased dilated size (Figs 2 and 3)... Current surgical management of this condition consists of dissection of the scalp to reveal the defect followed by simple excision and ligation, this is considered the “gold standard” of treatment for STA aneurysms... Conservative management consists of compression of the hematoma itself, which experience has shown to be relatively ineffective, close observation as well as appropriate analgesia is more appropriate... Some studies have shown limited successes of endovascular repair of this vessel.

No MeSH data available.


Related in: MedlinePlus