Un caso infrecuente de aneurisma ateroesclerótico de la arteria temporal superficial

Abstract

Un caso infrecuente de aneurisma ateroesclerótico de la arteria temporal superficial* Atherosclerotic aneurysm of the superficial temporal artery.

Tratamento do aneurisma aterosclerótico da artéria temporal superficial: relato de caso

“…In 1742, Thomas Bartholin reported the first case of a pseudoaneurysm of the superficial temporal artery, secondary to a trauma to the temporal region, 1,4 but it was not until 1955 that Martin and Shoemaker described the first case of a histologically confirmed atherosclerotic aneurysm. 1,5 Up to 2013, just over 30 cases of true ASTA had been reported. 4 True aneurysms are diagnosed by a histological examination showing that all of the layers of the artery wall are intact.…”

“…3 The most important differential diagnosis is a pseudoaneurysm of the superficial temporal artery. 1 History of trauma in the temporal and/or pre-auricular region should arouse a suspicion of pseudoaneurysm. 1 Attenuation or cessation of pulsation on compression of the proximal superficial temporal artery is a significant sign, but is also possible in cases of arteriovenous malformation.…”

“…1 History of trauma in the temporal and/or pre-auricular region should arouse a suspicion of pseudoaneurysm. 1 Attenuation or cessation of pulsation on compression of the proximal superficial temporal artery is a significant sign, but is also possible in cases of arteriovenous malformation. 2 Doppler ultrasonography may reveal a turbulent flow waveform and show elevated peripheral vascular resistance, which would rule out the possibility of an arteriovenous fistula.…”

“…Aneurysms of the superficial temporal artery (ASTA) are an uncommon condition that rarely appears in the literature. 1 The great majority are secondary to traumatisms to the temporal region, and in 95% of cases they develop into pseudoaneurysms. 2,3 However, true spontaneous aneurysms are extremely rare, 2 account for 8% of cases of ASTA and generally have atherosclerotic etiology.…”

“…4 True ASTA can be associated with the presence of other arterial aneurysms, Marfan Syndrome and giant-cell arteritis. 1 In addition to the esthetic effects, ASTA can cause local manifestations and serious algesia. 4 This article describes the case of an atherosclerotic aneurysm of the superficial temporal artery, its clinical presentation and diagnosis, and a provides a brief review of the literature.…”