Degenerative (True) Superficial Temporal Artery Aneurysm: A Case Report With Review of Literature

Mousa, Albeir Y.; Jain, Akhilesh; Campbell, John E.; Stone, Patrick A.; AbuRahma, Ali F.

doi:10.1177/1538574411414303

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…We included 45 studies in the present systematic review after full-text screening [Figure 3]. [1,5,[7][8][9][10][11][12][13][14]17,18,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]36,[38][39][40][41][42][43][44][45][46][47]49,55,57,58,[61][62][63] According to the systematic review, 63 cases, including the present case, were identified after Brown first reported pathologically confirmed nontraumatic true STAA in 1942. All of the data acquired following the standardized form are shown in Supplementary Tables 1 and 2.…”

Section: Search Resultsmentioning

confidence: 99%

True superficial temporal artery aneurysm: A case after extracranial-intracranial bypass surgery and a systematic review

Itani¹,

Shimizu²,

Tani³

et al. 2022

Surgical Neurology International

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Background: Nontraumatic true superficial temporal artery aneurysm (STAA) is rare, and its characteristics and pathogenesis are unclear. Methods: We report a case of STAA and performed a systematic review of PubMed, Scopus, and Web of Science using the keyword “superficial temporal artery aneurysm” to include studies on STAA reported through July 2022. We excluded studies on STAA associated with trauma, arterial dissection, infection, or vasculitis. Results: A 63-year-old woman who underwent left superficial temporal artery (STA)-middle cerebral artery bypass surgery 8 years previously was diagnosed with an aneurysm located at the left STA. The blood flow volume estimated by ultrasonography was higher in the left STA than in the contralateral counterpart (114 mL/min vs. 32 mL/min). She underwent clipping surgery to prevent aneurysmal rupture without sequela. The lesion was diagnosed as a true aneurysm by histology. The systematic review identified 63 cases (including the present case) of nontraumatic true STAA. The median age of the patients was 57 (interquartile range [IQR]: 41–70) years. Most (90.5%) cases were detected as a palpable mass. Aneurysmal rupture occurred in only 1 (1.6%) case, despite the large size of aneurysms (median size: 13 [IQR: 8–20] mm) and the high frequency (33.3%) of aneurysmal growth during observation. Most (93.7%) patients underwent surgical resection of STAA without sequela. Conclusion: Our findings suggest that the pathogenesis of true STAA is promoted by hemodynamic stress. The systematic review clarified patients’ and aneurysmal characteristics and treatment outcomes, providing further insight into the pathogenesis of nontraumatic true STAA.

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Section: Search Resultsmentioning

confidence: 99%

True superficial temporal artery aneurysm: A case after extracranial-intracranial bypass surgery and a systematic review

Itani¹,

Shimizu²,

Tani³

et al. 2022

Surgical Neurology International

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“…15 In our report, the preoperative USS described a right temporal artery aneurysm as a possible result, although also being a rare entity. 16 Pathological anatomy is characterized by circumscribed proliferation of vessels with swollen endothelium, which projects into the vascular lumen, with abundant eosinophilic cytoplasm and cubic, cylindrical, or hobnail shape, without evidence of pleomorphism or mitotic activity. In association, there is a prominent inflammatory infiltrate composed of lymphocytes, plasma cells, eosinophils, and scarce histiocytes, sometimes differentiating lymphoid follicles.…”

Section: Discussionmentioning

confidence: 99%

“…15 In our report, the preoperative USS described a right temporal artery aneurysm as a possible result, although also being a rare entity. 16…”

Section: Discussionmentioning

confidence: 99%

Angiolymphoid Hyperplasia With Temporal Artery Eosinophilia: A Case Report

Lujan

Mascarenhas

Aquino

et al. 2023

Vasc Endovascular Surg

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Angiolymphoid Hyperplasia with Eosinophilia (ALHE) is a benign vascular proliferative disorder with uncertain etiology and pathogenesis. The aim of this paper is to report a case of ALHE in the temporal artery and discuss the general aspects of this pathology. A 29-year-old female black patient sought the Vascular Surgery Outpatient Service, complaining of bulging in the right temporal region, associated with pain and local discomfort. Physical examination revealed pulsatile bulging in the right temporal region measuring approximately 2.5 × 1.5 cm. Nuclear Magnetic Resonance showed an expansive fusiform lesion in the superficial soft parts of the right temporal region, measuring 2.9 cm in the longest longitudinal axis. Surgical excision proved to be the best therapeutic option for the patient in this case. Histopathological sections showed the proliferation of vessels of different sizes, covered by swollen endothelium, prominent inflammatory infiltrate composed of lymphocytes, plasma cells, eosinophils, and scarce histiocytes. Immunohistochemical analysis of the lesion showed positivity for CD31, corroborating the diagnosis of ALHE.

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“…Superfi cial temporal artery aneurysms (STAA) are a rare occurrence. 1 They are almost always posttraumatic and present as a pulsatile mass in the temporal or frontal area of the head. 2 The diagnosis of these can be challenging.…”

Section: Introductionmentioning

confidence: 99%