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Published on: August 11, 2015
Traumatic pseudoaneurysm of superficial temporal artery
Naoto Fukunaga1, Mami Hanaoka, Noritaka Masahira
1Department of Neurosurgery, Tokushima Red Cross Hospital, 103 Irinoguchi, Komatsushima-cho, Komatsushima-shi, Tokushima 773-8502, Japan. naotowakimachi@hotmail.co.jp
A traumatic head injury caused a pseudoaneurysm in an elderly man. Surgical resection successfully treated the pulsatile forehead swelling, confirming the diagnosis.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Head trauma can lead to delayed vascular complications.
- Pseudoaneurysms are rare but serious consequences of injury.
- Early diagnosis is crucial for effective management.
Observation:
- An 83-year-old male presented with a forehead hematoma after a fall.
- The hematoma evolved into a pulsatile mass with thrill and bruit.
- Doppler confirmed arterial pulsation linked to the superficial temporal artery.
Findings:
- Computed tomography identified a right lateral forehead hematoma.
- Surgical exploration revealed and resected a pseudoaneurysm.
- Pathological examination confirmed the pseudoaneurysm diagnosis.
Implications:
- This case highlights the importance of recognizing pseudoaneurysms after head trauma.
- Prompt diagnosis and surgical intervention are key to successful outcomes.
- Forehead pseudoaneurysms require careful evaluation and management.
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