Postoperative pseudoaneurysm of the superficial temporal artery (S.T.A.) treated with Thrombostat (thrombin glue) injection.
BACKGROUND
Pseudo-aneurysm is a rare complication of craniotomy. Blunt injury to the temporal artery region is the usual cause, but still a rare complication.


METHODS
A patient with subarachnoid hemorrhage was successfully treated by aneurysm clipping. The patient developed hydrocephalus, and was admitted for a shunt operation seventeen days later. The craniotomy had healed normally, but a palpable temporal lump was present in the skin incision.


METHODS
The pulsating mass proved to be a postoperative aneurysm of the superficial temporal artery (S.T.A.) and was successfully occluded with 500 units Thrombostat (thrombin glue) which was injected into the aneurysm sac using a 22-gauge needle guided by ultrasound. The permanency of the obliteration was verified by ultrasound examination.
Bobinski
L
L
Department of Neurosurgery, University Hospital, SE-581 85 Linköping, Sweden.
Boström
S
S
Hillman
J
J
Theodorsson
A
A
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy*; D003399:Craniotomy / Q000009:adverse effects*; D006490:Hemostatics / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013345:Subarachnoid Hemorrhage / Q000601:surgery; D013525:Surgical Instruments; D013699:Temporal Arteries / Q000473:pathology*; D013917:Thrombin / Q000008:administration & dosage / Q000627:therapeutic use*; D018084:Ultrasonography, Interventional
D006490:Hemostatics; D013917:Thrombin