Traumatic pseudoaneurysm of superficial temporal artery.
An 83-year-old man reported falling and bumping his right lateral forehead on the ground 3 weeks previously. Physical examination revealed a soft, reddish swelling on the lateral forehead. Computed tomography confirmed a hematoma of the right lateral forehead. On the seventh hospital day, the swelling showed slight enlargement. Re-examination revealed a pulsatile mass with a palpable thrill and systolic bruit. Doppler echo showed pulsation of the swelling, which disappeared with compression of the anterior branch of the superficial temporal artery (STA). Surgical exploration was performed, and the pseudoaneurysm was resected. Pathological findings confirm a pseudoaneurysm.
Department of Neurosurgery, Tokushima Red Cross Hospital, 103 Irinoguchi, Komatsushima-cho, Komatsushima-shi, Tokushima 773-8502, Japan. naotowakimachi@hotmail.co.jp
Naoto
N
Fukunaga
Mami
M
Hanaoka
Noritaka
N
Masahira
Tetsuya
T
Tamura
Hirofumi
H
Oka
Koichi
K
Satoh
Hajime
H
Miyake
D000058:Accidental Falls; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006259:Craniocerebral Trauma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods; D018570:Risk Assessment; D013699:Temporal Arteries / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler