Pseudoaneurisma da artéria temporal superficial: relato de três casos

Miyamotto, Marcio; Evangelista, Matheus Schimidt; Granella, Victor Hugo; Angelo, Bruna Zimmerman; Marciniak, Bárbara Milena; Hennig, Pedro Henrique; Ribeiro, Ian Gimenez; Moreira, Ricardo

doi:10.1590/1677-5449.009517

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Madhusudan et al 5 reported an extradural hematoma case after a ruptured STA pseudoaneurysm, causing extensive symptomatology, as paresis and dysphasia. Although they may range 0.5-5.7 cm in diameter, most are between 1-1.5 cm 6 . The evolution is commonly between 2 to 6 weeks after the causative traumatic incident 4 , in contrast to this reported case, which became noticeable only after 2 years.…”

Section: Introduction Case Presentation O Conhecimento Dessa Condição é Importante Para O Diagnóstico Etiológico De Uma Cefaleia Temporalmentioning

confidence: 99%

“…The STA pseudoaneurysms usually have a benign clinical presentation and are generally secondary to TBI. Although usually presented as asymptomatic, the most common symptoms, besides the pulsatile mass on the level of the injured artery, are headache and discomfort at the lesion's location, commonly because of the involvement of nervous structures adjacent to the lesion 6 . The clinical history and the physical examination were useful to guide the diagnosis.…”

Section: Introduction Case Presentation O Conhecimento Dessa Condição é Importante Para O Diagnóstico Etiológico De Uma Cefaleia Temporalmentioning

confidence: 99%

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Superficial temporal artery pseudoaneurysm as cause of refractory headache

Cavalcante-Neto¹,

Oliveira²,

Esmeraldo³

et al. 2021

jbnc

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Case presentation: A 36-year-old male presented with moderate, progressive headache, in the left temporal region, irradiating to the ipsilateral frontal region, with several months of evolution, refractory to analgesic medication, including opioids. He reported a closed traumatic brain injury (TBI) 5 years before in a motorcycle collision with an automobile, without a helmet. At the physical examination, it was possible to verify a pulsatile mass measuring 1.5 cm in diameter, with fremitus, in the left temporal region. The magnetic resonance imaging scan presented a round lesion, encapsulated, on the course of the superficial temporal artery (STA). The digital subtraction angiography confirmed the diagnosis of STA pseudoaneurysm. A surgical resection of the aneurysm was performed, leading to the complete resolution of the headache. Discussion: The STA pseudoaneurysm is a rare condition, representing less than 1% of aneurysms, usually presenting as a late complication of TBI. The majority of cases are asymptomatic, although focal symptoms and even bleeding may occur. The presentation with a chronic refractory headache is exceptional. Its treatment is indicated for local symptom resolution, aesthetic purposes, and rupture prevention, done by clipping and resection of the pseudoaneurysm. Conclusion: Even though unusual, the awareness of this condition is important for the etiological diagnosis of a persistent temporal headache in a patient with a history of TBI.

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Section: Introduction Case Presentation O Conhecimento Dessa Condição é Importante Para O Diagnóstico Etiológico De Uma Cefaleia Temporalmentioning

confidence: 99%

Section: Introduction Case Presentation O Conhecimento Dessa Condição é Importante Para O Diagnóstico Etiológico De Uma Cefaleia Temporalmentioning

confidence: 99%