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Superficial temporal artery aneurysms

I I Pipinos1, C D Dossa, D J Reddy

  • 1Henry Ford Hospital, Department of Surgery, Detroit, Mich. 48202, USA.

Journal of Vascular Surgery
|March 24, 1998
PubMed
Summary
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Superficial temporal artery aneurysms, though rare, are typically caused by head trauma. Ligation and excision offer a curative treatment with no recurrence observed in this study.

Area of Science:

  • Vascular Surgery
  • Head and Neck Surgery
  • Trauma Surgery

Background:

  • Superficial temporal artery aneurysms are an uncommon vascular pathology.
  • These aneurysms often present as a unilateral pulsatile mass in the temporal region.

Purpose of the Study:

  • To determine the cause, clinical features, and cost-effective management of superficial temporal artery aneurysms.

Main Methods:

  • Analysis of data from a vascular registry over 18 years.
  • Evaluation of six male patients (14-32 years) with unilateral temporal pulsatile masses.
  • Diagnosis confirmed by compression of the ipsilateral proximal superficial temporal artery.

Main Results:

  • All six patients underwent elective ligation and excision as an ambulatory procedure.

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  • Symptoms were resolved post-treatment.
  • No recurrences or complications were observed.
  • Conclusions:

    • Superficial temporal artery aneurysm should be considered in cases of temporal head masses.
    • Blunt or penetrating head trauma is the primary cause.
    • Clinical examination is sufficient for diagnosis, and ligation/excision is curative.