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Superficial Temporal Artery Pseudoaneurysm: A Case Report.

Younus SM, Imran M, Qazi R - Front Surg (2015)

Bottom Line: Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma.The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography.Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery, Dow University of Health Sciences , Karachi , Pakistan.

ABSTRACT
Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma. The frequency of pseudoaneurysms of the superficial temporal artery developing after craniotomy is exceedingly low and only a few cases have been reported. We present a case of pseudoaneurysm of this type in a 45-year-old male who underwent craniotomy for excision of meningioma. One month postoperatively, the craniotomy flap exhibited an enormous diffuse pulsate swelling. The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography. Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.

No MeSH data available.


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3D reconstruction of pseudoaneurysm.
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Figure 3: 3D reconstruction of pseudoaneurysm.

Mentions: During his follow up 1 month after surgery, he presented with a diffuse swelling of craniotomy flap, although the edges of wound were healthy. The swelling was diffusely homogenous, normal in color, pulsatile in nature and indolent (Figure 1). With the suspicion of pseudoaneurysm, carotid angiography was performed which revealed a large pseudoaneurysm arising from branch of the superficial temporal artery. He had a redo surgery for excision of pseudoaneurysm (Figures 2 and 3). At the base of pseudoaneurysm, there was free end of superficial temporal artery, which was coagulated and ligated. Subsequent follow up did not reveal any recurrence of the tumor or pseudoaneurysm.


Superficial Temporal Artery Pseudoaneurysm: A Case Report.

Younus SM, Imran M, Qazi R - Front Surg (2015)

3D reconstruction of pseudoaneurysm.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4593946&req=5

Figure 3: 3D reconstruction of pseudoaneurysm.
Mentions: During his follow up 1 month after surgery, he presented with a diffuse swelling of craniotomy flap, although the edges of wound were healthy. The swelling was diffusely homogenous, normal in color, pulsatile in nature and indolent (Figure 1). With the suspicion of pseudoaneurysm, carotid angiography was performed which revealed a large pseudoaneurysm arising from branch of the superficial temporal artery. He had a redo surgery for excision of pseudoaneurysm (Figures 2 and 3). At the base of pseudoaneurysm, there was free end of superficial temporal artery, which was coagulated and ligated. Subsequent follow up did not reveal any recurrence of the tumor or pseudoaneurysm.

Bottom Line: Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma.The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography.Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery, Dow University of Health Sciences , Karachi , Pakistan.

ABSTRACT
Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma. The frequency of pseudoaneurysms of the superficial temporal artery developing after craniotomy is exceedingly low and only a few cases have been reported. We present a case of pseudoaneurysm of this type in a 45-year-old male who underwent craniotomy for excision of meningioma. One month postoperatively, the craniotomy flap exhibited an enormous diffuse pulsate swelling. The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography. Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.

No MeSH data available.


Related in: MedlinePlus