Superficial temporal artery aneurysm
, 2, 2, 2
Abstract
The superficial temporal artery (STA), an end branch of the external carotid artery, is a major artery of the head. Due to its location, where skin and fat tissue remain the only protection of the artery, it can be easily damaged while head injury, causing an aneurysm to form. So far around four hundreds of cases of STA aneurysms have been described in the literature.
We present a 37-year-old woman with a painless pulsatile mass of approximately one centimeter above the left ear and headaches in the left temporal area. In the past, she was a victim of domestic violence with a few head trauma.
The STA aneurysm was confirmed in ultrasound imaging. The patient did not meet the criteria for the diagnosis of giant cell arteritis. She was presented for a vascular surgery consultation and qualified for surgical resection of the aneurysm. In addition, the patient was diagnosed with hepatic hemangioma and mild aortic and mitral valve regurgitation.
According to the available literature, STA aneurysms have mostly been reported as post-traumatic. The gold standard for STA aneurysm treatment is surgical resection. The procedure was reported as safe, as well as a low grade of recurrence or complications during the procedure was shown in the literature.
Keywords: superficial temporal artery aneurysmhead injuryheadachetemporal massangio-computed tomography scans
References
- Gray H, Vandyke H. Anatomy descriptive and surgical. John W. Parker and Son, London 2011: 1825-1861.
- Khandelwal P, Akkara F, Dhupar V, et al. Traumatic pseudoaneurysm of the superficial temporal artery. Natl J Maxillofac Surg. 2018; 9(1): 74–77.
- DeSanti L. Des tumeurs anev. de la région temporale. Arch Gen Med. 1884; 154: 543–679.
- van Uden DJP, Truijers M, Schipper EE, et al. Superficial temporal artery aneurysm: Diagnosis and treatment options. Head Neck. 2013; 35(4): 608–614.
- D'Agostino RB, Vasan RS, Pencina MJ, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008; 117(6): 743–753.
- Al-Sibassi AN, Ethunandan M. Superficial Temporal Artery Aneurysm: Case Report and Review of Literature. J Oral Maxillofac Surg. 2020; 78(7): 1147–1150.
- Veen EJD, Poelmann FB, IJpma FFA. A traumatic superficial temporal artery aneurysm after a bicycle accident. J Surg Case Rep. 2014; 2014(10).
- Grasso RF, Quattrocchi CC, Crucitti P, et al. Superficial temporal artery pseudoaneurysm: a conservative approach in a critically ill patient. Cardiovasc Intervent Radiol. 2007; 30(2): 286–288.
- Prado A, Fuentes P, Guerra C, et al. Pseudoaneurysm of the frontal branch of the superficial temporal artery: an unusual complication after the injection of botox. Plast Reconstr Surg. 2007; 119(7): 2334–2335.
- Murphy JG, Mikhail W, Condon KC. Traumatic aneurysm of the superficial temporal artery, secondary to hair transplantation. Ir Med J. 1981; 74(5): 139.
- Dinner MI, Hartwell SW, Magid AJ. Iatrogenic false aneurysm of the superficial temporal artery. Case report. Plast Reconstr Surg. 1977; 60(3): 457–460.
- Kobayashi H, Morishita T, Yoshinaga S, et al. Enlargement of preexisting superficial temporal artery pseudo-aneurysm co-incidental to mask wearing during the Covid-19 pandemic. Interdiscip Neurosurg. 2022; 27: 101396.
- Manz HJ, Gomes MN. Sports injury as cause of traumatic pseudoaneurysm of superficial temporal artery. Arch Pathol Lab Med. 1984; 108(10): 775–776.
- Seferi A, Alimehmeti R, Pajaj E, et al. Superficial temporal artery pseudoaneurysm presenting as a growing, pulsatile, and tender mass. Surg Neurol Int. 2016; 7: 66.
- Derstine M, Doyle C. Traumatic Pseudoaneurysm of the Superficial Temporal Artery. J Emerg Med. 2021; 61(4): e96–e97.
- Peick AL, Nichols WK, Curtis JJ, et al. Aneurysms and pseudoaneurysms of the superficial temporal artery caused by trauma. J Vasc Surg. 1988; 8(5): 606–610.
- Evans CC, Larson MJ, Eichhorn PJ, et al. Traumatic pseudoaneurysm of the superficial temporal artery: two cases and review of the literature. J Am Acad Dermatol. 2003; 49(5 Suppl): S286–S288.
- Watts RA, Robson J. Introduction, epidemiology and classification of vasculitis. Best Pract Res Clin Rheumatol. 2018; 32(1): 3–20.
- Saadoun D, Vautier M, Cacoub P. Medium- and Large-Vessel Vasculitis. Circulation. 2021; 143(3): 267–282.
- Gressenberger P, Gütl K, Jud P. Post-Traumatic Aneurysms of the Superficial Temporal Artery. Dtsch Arztebl Int. 2021; 118(5): 70.
- Ayling O, Martin A, Roche-Nagle G. Primary repair of a traumatic superficial temporal artery pseudoaneurysm: case report and literature review. Vasc Endovascular Surg. 2014; 48(4): 346–348.
- Johnston J, Sullivan CM. Superficial temporal artery pseudoaneurysm following facial trauma. BMJ Case Rep. 2018; 2018.
- Keser G, Aksu K. Diagnosis and differential diagnosis of large-vessel vasculitides. Rheumatol Int. 2019; 39(2): 169–185.
- Pipinos II, Dossa CD, Reddy DJ. Superficial temporal artery aneurysms. J Vasc Surg. 1998; 27(2): 374–377.
- Kim E. True aneurysms of the superficial temporal artery: Diagnosis and treatment. Clin Neurol Neurosurg. 2014; 126: 64–68.
- Stapleton CJ, Fusco MR, Thomas AJ, et al. Traumatic pseudoaneurysms of the superficial temporal artery: case series, anatomy, and multidisciplinary treatment considerations. J Clin Neurosci. 2014; 21(9): 1529–1532.
- Rubio-Palau J, Ferrer-Fuertes A, García-Díez E, et al. Traumatic pseudoaneurysm of the superficial temporal artery: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014; 117(2): e112–e114.
- Grasso RF, Quattrocchi CC, Crucitti P, et al. Superficial temporal artery pseudoaneurysm: a conservative approach in a critically ill patient. Cardiovasc Intervent Radiol. 2007; 30(2): 286–288.
- Matsumoto H, Yamaura I, Yoshida Y. Identity of growing pulsatile mass lesion of the scalp after blunt head injury: Case reports and literature review. Trauma Case Rep. 2018; 17: 43–47.
- Cvetic VZ, Radmili O, Lukic B, et al. Endovascular Treatment of Traumatic Pseudoaneurysm of the Superficial Temporal Artery. Vasc Endovascular Surg. 2016; 50(3): 171–174.
- Hong JT, Lee SW, Ihn YK, et al. Traumatic pseudoaneurysm of the superficial temporal artery treated by endovascular coil embolization. Surg Neurol. 2006; 66(1): 86–88.
- Kang I, Mo YW, Jung GY, et al. Pseudoaneurysm of the superficial temporal artery after blunt trauma: case report and literature review. Arch Craniofac Surg. 2022; 23(3): 130–133.
- Isaacson G, Kochan PS, Kochan JP. Pseudoaneurysms of the superficial temporal artery: treatment options. Laryngoscope. 2004; 114(6): 1000–1004.