Multiple Scalp Aneurysms Caused by Atypical Temporal Arteritis —Case Report—

Yoshimoto, Tetsuyuki; Kobayashi, Hiroyuki; Murai, Hiroshi; Echizenya, Kouhei; Satoh, Minoru

doi:10.2176/nmc.38.405

Cited by 16 publications

(7 citation statements)

References 5 publications

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“…There are a few reports of bilateral obstruction, as seen in our patient (4, 9). Narrowing of the carotid arteries was identified as a rare complication of GCA in our patient (10), suggesting wide‐spread muscular arteritis (11, 12).…”

Section: Discussionmentioning

confidence: 66%

Bilateral Scalp Necrosis with Giant Cell Arteritis

Matsushima

Yamanaka

Mori

et al. 2003

The Journal of Dermatology

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We present a patient with bilateral scalp necrosis caused by giant cell arteritis (temporal arteritis). A 67-year-old woman, who had been treated with 5 mg of oral prednisolone every other day for polymyalgia rheumatica, developed painful egg-sized regions of necrosis on both of her temples. Doppler pulsemetory revealed bilateral obstruction of the temporal arteries. Biopsy revealed ischemic necrosis of the skin and necrotic angiitis of the temporal arteries with giant cell infiltration. Bilateral stenosis of the internal carotid arteries and moderate retinal bleeding were revealed by angiography. Daily administration of prednisolone (20 mg/day) with intravenous and topical limaprost alphadex markedly improved her condition. The ulcers reepithelized without surgical treatment. There are few reports of bilateral scalp necrosis. Rapid and complete obstruction of the temporal artery may result in this condition. Simultaneous development of two ulcerative lesions in the ventro-parietal cranial regions is thought to correspond to systemic arterial involvement, including involvement of the internal carotid arteries.

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Section: Discussionmentioning

confidence: 66%

Bilateral Scalp Necrosis with Giant Cell Arteritis

Matsushima

Yamanaka

Mori

et al. 2003

The Journal of Dermatology

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“…Aneurysms of TSA is rarely seen. So far is described less than 200 cases of these aneurysms which are solitary in most cases, but sometimes can be multiple (4,5). In 89% percent of reported cases were pseudo aneurysms, while the remaining 11% were true aneurysms of TSA (1).…”

Section: Discussionmentioning

confidence: 99%

True Aneurysm of Temporal Superficial Artery Arise Spontaneously. Case Report

Janićijević

Jevremovic

Kovačević

et al. 2019

Serbian Journal of Experimental and Clinical Research

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Aneurysms of the temporal superfi cial artery (TSA) are very rare clinical entity. From 1861 to the present day, is described less than 200 cases. e most common cause of these aneurysms is so called blunt head trauma but there are described many cases of iatrogenic aneurysms, very rarely, aneurysms arise spontaneously. We report a case of 17-yearold patient with spontaneously formatting aneurysm of TSA.ree months prior to admission, he noticed the existence of tumefaction localized frontotemporal on the right side. MSCT angiography of blood vessels of the scalp showed an aneurysm on the frontal branch of TSA diameter of 15 mm. e aneurysm was resected with uneventful postoperative course. PH fi ndings pointed to a true aneurysm. Treatment protocol for the aneurysms of the TSA include clinical monitoring, compression of the aneurysm, the injection of thrombin, endovascular treatment and surgical resection. Surgical resection has proven to be a safe and eff ective treatment modality and still is the method of choice.

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“…3) Arteriosclerotic change and/or hemodynamic stress, and arteritis may result in pseudoaneurysms of the STA. 2,12,14) Disseminated intravascular coagulopathy was associated with a giant STA aneurysm with bleeding tendency. 6) One of our patients was taking aspirin (81 mg per day) to prevent cerebrovascular disease.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Computed Tomography Angiography for the Investigation of Superficial Temporal Artery Pseudoaneurysms-Two Case Reports-

Higashino

Kawashima

Mannoji

2005

Neurol. Med. Chir.(Tokyo)

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An 89-year-old man and a 60-year-old man presented with superficial temporal artery (STA) pseudoaneurysms which developed secondary to trauma. Conventional cerebral angiography and three-dimensional computed tomography (3D CT) angiography clearly demonstrated the STA pseudoaneurysms. The patients underwent surgical excision of the aneurysms based on the conventional cerebral angiography findings in one patient and 3D CT angiography findings in other patient. 3D CT angiography is an excellent noninvasive diagnostic method for detecting extracranial aneurysms such as STA pseudoaneurysm, especially the relationship between the aneurysm and surrounding structures, including the calvarium.

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Multiple Scalp Aneurysms Caused by Atypical Temporal Arteritis —Case Report—

Cited by 16 publications

References 5 publications

Bilateral Scalp Necrosis with Giant Cell Arteritis

Bilateral Scalp Necrosis with Giant Cell Arteritis

True Aneurysm of Temporal Superficial Artery Arise Spontaneously. Case Report

Three-Dimensional Computed Tomography Angiography for the Investigation of Superficial Temporal Artery Pseudoaneurysms-Two Case Reports-

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