Aneurisma traumático da artéria temporal superficial: registro de um caso

Roca, Gustavo Rioja; Picozzi, Luigi

doi:10.1590/s0004-282x1984000200013

Cited by 5 publications

(12 citation statements)

References 9 publications

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“…10 There are many other diseases that can confuse the surgeon, such as lipomas, sebaceous cysts, abscesses and others. 2,7 From the case described here it can be concluded that surgical resection is the most advisable treatment, bearing in mind that inadvertent exceresis can be catastrophic. 2,4…”

Section: Discussionmentioning

confidence: 81%

“…7 The first case of temporal artery aneurysm was described in 1740 by Thomas Bartolin. 2 In 1934, Winslow and Edwards collected 108 cases of superficial temporal artery aneurysm, 79 of which had a traumatic origin. 2 Posttraumatic aneurysms of the temporal artery occur because the anterior branch of the artery is located directly over the periosteum, which means it is very superficial and prone to injury with formation of aneurysms and arteriovenous fistulas.…”

Section: Discussionmentioning

confidence: 99%

“…2 In 1934, Winslow and Edwards collected 108 cases of superficial temporal artery aneurysm, 79 of which had a traumatic origin. 2 Posttraumatic aneurysms of the temporal artery occur because the anterior branch of the artery is located directly over the periosteum, which means it is very superficial and prone to injury with formation of aneurysms and arteriovenous fistulas. 8 They therefore involve the frontal branch of the artery, because it is relatively more exposed.…”

Section: Discussionmentioning

confidence: 99%

“…These aneurysms are easily confused with lipomas, neuromas, nodules, cystic tumors of the parotid gland, 8 arteriovenous fistulas, hematomas, sebaceous cysts, abscesses and meningocele, especially if the aneurysm's pulse is weak. 2 Aneurysms of the temporal artery are painless and have a palpable thrill. 9 The gold standard for diagnosis is computed tomography or magnetic resonance angiography, 8 but Doppler ultrasonography has great clinical applicability.…”

Section: Discussionmentioning

confidence: 99%

“…1 The condition occurs in less than 10% of all multiple injury cases. 2 The most common causes are blunt injuries. This possibility should therefore be suspected in all patients who present with a pulsating nodule in the region of the temporal artery after a traumatism.…”

Section: Introductionmentioning

confidence: 99%

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Aneurisma verdadeiro pós-traumático de artéria temporal

et al. 2016

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ResumoOs aneurismas de artéria temporal pós-traumático são eventos raros. Geralmente, são pseudoaneurismas. Como a causa mais frequente são ferimentos contusos, deve-se investigar todo paciente que possuir nodulação pulsátil na região da artéria temporal. O paciente apresentava protuberância pulsátil em região frontal direita há quatro meses, após queda de objeto pontiagudo, e o eco-Doppler evidenciou dilatação aneurismática. Assim, foi indicada sua excisão, que foi realizada com sucesso. O exame anatomopatológico demonstrou aneurisma verdadeiro traumático de artéria temporal superficial. Ocorrem devido ao fato de a artéria temporal superficial se localizar diretamente sobre o periósteo, o que a torna muito superficializada. Os aneurismas verdadeiros pós-traumáticos de artéria temporal são extremamente raros e podem ser confundidos com diversas outras afecções, como lipomas e cistos sebáceos.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Aneurisma verdadeiro pós-traumático de artéria temporal

et al. 2016

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Aneurysms and pseudoaneurysms of the superficial temporal artery caused by trauma

Peick

Nichols

Curtis

et al. 1988

Journal of Vascular Surgery

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Superficial temporal artery (STA) aneurysms as a result of tranma represent less than 1% of reported aneurysms. During the past 200 years only the type of trauma and the preferred treatment have significantly changed. Patients are generally young men with a recent history of blunt head trauma. They may complain of a mass, headache, or other vague symptoms. Neurologic defects are rare; however, ira neurologic deficit exists, the physician should consider either arteriography or a head CT scan to search for intracranial pathologic conditions. In most cases the diagnosis may be made by obtaining a complete history and physical examination. The treatment of choice is ligation and resection, which may be accomplished with the patient under local or general anesthesia. In rare instances, arteriography with selective embolization may be useful when the traumatic aneurysm is complicated by severe facial trauma. Three cases of STA aneurysms are presented. The history, pathophysiology, origin, presentation, diagnosis, differential diagnosis, and treatment of STA aneurysms are reviewed. (J VASC SURG 1988;8:606-10.) Blunt head injury is the primary cause in the development of aneurysms Of the superficial temporal artery. All physicians treating patients with even minor head trauma should be aware o f this important entity. CASE REPORTSCase 1. A 74-year-old white man sustained blunt left periorbital trauma. Several hours after the insult, the patient was evaluated for complaints of left periorbital swelling and pain. Physical examination showed a minor left frontal hematoma, abrasions, and periorbital induration. Skull x-ray films showed no fracture. During the next 3 weeks, a pulsatile mass associated with left temporal headaches developed. The patient returned for a second exan~ination and had a 3.0 × 2,5 cm left frontal pulsatile mass with a systolic bruit (Fig. 1). A thrill was not palpable. Arteriography revealed a probable aneurysm of a frontal branch of the STA (Fig. 2). The patient had ligation and resection of a traumatic left STA aneurysm with an uneventful postoperative course.Case 2. An 18-year-old white man sustained blunt trauma to the right side of the face. Two days later a pulsatile mass developed over the temporal and preauricular region. Three weeks after injury the patient came for evaluation of right temporal headaches and decreased hearing in his right ear. A 2.0 cm pulsatile mass anterior to the right tragus was found during physical examination. Skull x-ray films showed no fracture and a CT scan of the head demonstrated an extracranial vascular lesion (Fig, 3). Audiologic evaluation was normal. The patient had ligation and resection of a traumatic aneurysm of the right STA and was discharged from the hospital on fire third postoperative day. Case 3. A 66-year-old white man presented 4 days after blunt trauma to the left side of the forehead. A left frontal abrasion, a 2.0 cm superficial laceration, and a 2.0 cm pulsatile mass with systolic bruit over a frontal branch of the STA were found during ex...

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Aneurisma traumático da artéria temporal superficial: registro de um caso

Cited by 5 publications

References 9 publications

Aneurisma verdadeiro pós-traumático de artéria temporal

Aneurisma verdadeiro pós-traumático de artéria temporal

Solar Activity

Aneurysms and pseudoaneurysms of the superficial temporal artery caused by trauma

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