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Published on: April 21, 2017
Traumatic pseudoaneurysm arising from the anterior superficial temporal artery in an infant
Hiroshi Hasegawa1, Satoshi Tsutsumi, Yukimasa Yasumoto
1Department of Neurological Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan.
Insights
A rare pediatric case of superficial temporal artery (STA) pseudoaneurysm following head trauma is presented. Surgical excision was successful, highlighting the need for early intervention in pediatric head trauma patients.
Area of Science:
- Pediatric Neurosurgery
- Vascular Surgery
- Trauma Surgery
Background:
- Superficial temporal artery (STA) pseudoaneurysms are rare complications of head and facial trauma.
- Pediatric cases of STA pseudoaneurysm are exceptionally uncommon.
- Traditional management involves surgical excision.
Observation:
- A 13-month-old boy developed a rapidly growing forehead mass post-minor head trauma.
- The mass was pulsatile, firm, and exceeded 5 cm.
- CT angiography confirmed a pseudoaneurysm of the anterior branch of the left STA.
Findings:
- En bloc surgical extirpation of the pseudoaneurysm was performed.
- Histopathological examination confirmed the diagnosis of pseudoaneurysm.
Implications:
- Early diagnosis and treatment are crucial for pediatric traumatic pseudoaneurysms.
- Neurosurgeons must consider surgical intervention before pseudoaneurysms attain significant size.
- Prompt management can prevent potential complications associated with large vascular lesions in children.
Introduction:
Pseudoaneurysm arising from the superficial temporal artery (STA) is an uncommon sequela of head and facial trauma. This entity is very rare in the pediatric population. The conventional treatment is surgical excision.
Case Report:
A 13-month-old boy presented with a progressively enlarging subcutaneous mass in the left forehead that appeared 1 week after indoor minor head trauma. The mass was hard and prominently expansile and was more than 5 cm in the largest dimension. The mass did not have audible bruit and was not diminished by manual compression of the proximal STA. Cranial computed tomography (CT) did not reveal intracranial hemorrhage or skull fracture in association with the head trauma. CT angiography showed a large aneurysm arising from the anterior branch of the left STA.
Result:
En bloc extirpation of the aneurysm was performed. Histological examination of the excised specimen showed findings consistent with pseudoaneurysm.
Conclusion:
In addition to careful observation for a sufficiently long period after the head trauma, neurosurgeons should be aware of the need to start treatment before a traumatic pseudoaneurysm reaches a significant size.
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