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Palpable Mass on the Head after Minor Trauma

View Article: PubMed Central - PubMed

ABSTRACT

Temporal artery is superficially exhibited and easily traumatized. Rarely, a minor and blunt trauma, especially in elderly who are under anticoagulants, can cause a pseudoaneurysm. Diagnosis should be based, primarily, on history and physical examination and secondarily on duplex ultrasound scanning which will lead to confirmation and preoperative planning. The therapeutical plan consists of surgical ligation and excision of the aneurysm. Surgery can be performed under local anesthesia with no postoperative major or minor complications. Endovascular approach consists of catheter embolization and remains a second option due to the risk of complications and the inconclusive results. On this review, authors present a case of an 80-year-old male with a pseudoaneurysm of superficial temporal artery.

No MeSH data available.


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Pseudoaneurysm with hematoma extended into the periorbital space.
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fig2: Pseudoaneurysm with hematoma extended into the periorbital space.

Mentions: An 80-year-old male presented to the emergency department of our hospital with a mass on the left frontal bone, after a minor fall on the ground ten days ago. The patient was under anticoagulants for his chronic atrial fibrillation at therapeutic levels. Examination revealed pale skin with necrotic components overlying a 1.56 × 1.12 cm pulsatile mass on the temporal side of the left frontal bone (Figures 1 and 2).


Palpable Mass on the Head after Minor Trauma
Pseudoaneurysm with hematoma extended into the periorbital space.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC5121442&req=5

fig2: Pseudoaneurysm with hematoma extended into the periorbital space.
Mentions: An 80-year-old male presented to the emergency department of our hospital with a mass on the left frontal bone, after a minor fall on the ground ten days ago. The patient was under anticoagulants for his chronic atrial fibrillation at therapeutic levels. Examination revealed pale skin with necrotic components overlying a 1.56 × 1.12 cm pulsatile mass on the temporal side of the left frontal bone (Figures 1 and 2).

View Article: PubMed Central - PubMed

ABSTRACT

Temporal artery is superficially exhibited and easily traumatized. Rarely, a minor and blunt trauma, especially in elderly who are under anticoagulants, can cause a pseudoaneurysm. Diagnosis should be based, primarily, on history and physical examination and secondarily on duplex ultrasound scanning which will lead to confirmation and preoperative planning. The therapeutical plan consists of surgical ligation and excision of the aneurysm. Surgery can be performed under local anesthesia with no postoperative major or minor complications. Endovascular approach consists of catheter embolization and remains a second option due to the risk of complications and the inconclusive results. On this review, authors present a case of an 80-year-old male with a pseudoaneurysm of superficial temporal artery.

No MeSH data available.


Related in: MedlinePlus