Management of non-giant cell arteritis disease of the superficial temporal artery

Labropoulos, Nicos; Meisner, Robert J.; Gasparis, Antonios P.; Tassiopoulos, Apostolos K.

doi:10.1016/j.jvs.2010.07.070

Cited by 5 publications

(4 citation statements)

References 10 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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“…However, disadvantages include transient loss of visualization over long periods of time and imaging artifacts. SQUID and PHIL are newer agents, with advantages including lower viscosity, improved visualization, and fewer artifacts on imaging [ 14 , 25 , 26 ]. Juan-Carepena et al described utilizing PHIL, which reduces imaging artifacts and does not cause discoloration when injected into the STA AVM, given the superficial nature [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Particulate embolic agents include polyvinyl alcohol (PVA) [ 14 , 25 , 26 ]. Contrast agent can also be used in conjunction with embolic agents to help visualization such as lipiodol, a radioactive substance made from poppy seed oil [ 14 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Elmore,

Esper,

Gritsiuta

et al. 2024

Am J Case Rep

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Patient: Female, 76-year-old Final Diagnosis: Spontaneous superficial temporal artery arteriovenous malformation Symptoms: Pulsatile mass • tenderness • enlarging • tinnitus Clinical Procedure: Open ligation and excision Specialty: Surgery Objective: Rare disease Background: An arteriovenous malformation (AVM) is an abnormal connection between an artery and a vein, bypassing the capillary network. An AVM of the superficial temporal artery (STA) can occur after trauma, iatrogenic injury, infection, or spontaneously. Spontaneous, or iatrogenic, presentations of STA AVM are thought to be rare, with very few reported cases. Symptoms include local pain, headache, tinnitus, or paresthesia, in addition to a palpable mass associated with thrill on palpation. Options for diagnosis include intra-arterial angiography, doppler ultrasound, magnetic resonance angiography (MRA), and computed tomography angiography (CTA). Current management options include surgical excision, ligation, and embolization; however, it is unknown which treatment is superior in terms of recurrence and which carries a lower risk of complications. Case Report: We present a case of a spontaneous STA AVM in a 76-year-old woman with past medical history significant for seasonal allergies and hyperlipidemia, who presented with pulsatile tinnitus and a palpable, tender mass located to the left temporal area. The mass had been present for several years, with gradual increase in size two to three years prior to presentation. She denied any history of trauma or procedure prior to presentation of the pulsatile mass. She underwent open excision with complete resolution of symptoms and no recurrence at 11-month follow-up. Conclusions: AVM of the STA is a condition that can occur secondary to trauma, infection, iatrogenic injury, or spontaneously. Spontaneous, or iatrogenic, presentations of STA AVM are thought to be rare, with very few cases documented in the literature. Surgical treatment remains the standard of management, with options including surgical excision, ligation, or embolization.

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“…The history of the first ever described aneurysm of temporal artery dates back to the first middle of the seventeenth century, and is related to the work of Thomas Bartholin. [ 1 11 ] Although several sources defer the first report of such a case with almost a century after its original publication, the documented remote year of 1644 coincides with the lifespan of the famous Danish physician, as well as with the precious publications of Hagae Comitum , from the Martinus Nyhoff editing house. [ 4 7 9 ]…”

Section: Introductionmentioning

confidence: 99%

Superficial temporal artery pseudoaneurysm presenting as a growing, pulsatile, and tender mass

et al. 2016

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Background:Superficial temporal artery (STA) pseudoaneurysms have been reported in the literature since the mid of seventeenth century from Bartholin, however, there is an increasing number of cases, suggesting a diversity of etiological factors. Among these, traumatic events, even of an iatrogenic nature, have been identified as causative factors for nonspontaneous STA pseudoaneurysms. Regional pain and tenderness, troublesome pulsations of the mass, cosmetic concerns as well as the risk of bleeding warrant a thorough evaluation and a definite interventional approach to the condition.Case Description:A 21-year-old Caucasian male searched medical advice for a growing, tender, and pulsatile mass on his right temple, with isolated and short episodes of lancinating sensations, after sustaining a blunt trauma following a hit with a stick half a year before the admission. Enhanced cranial computed tomography and angiography confirmed the diagnosis of an STA pseudoaneurysm. A direct percutaneous aspiration, as well as ultrasonography, was performed prior to the neurosurgical intervention, with the complete removal of the mass.Conclusions:STA pseudoaneurysms require a careful evaluation and a conclusive approach in order to avoid the risk of a growing mass and other nonremote complications such as bone erosions and bleeding. Different treatment options are available, including endovascular obliteration and embolization, however, surgical removal after ligation of the afferent and efferent segments of the vessel seem to be highly effective.

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Management of non-giant cell arteritis disease of the superficial temporal artery

Cited by 5 publications

References 10 publications

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

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

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Superficial temporal artery pseudoaneurysm presenting as a growing, pulsatile, and tender mass

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