True Aneurysm of Temporal Superficial Artery Arise Spontaneously. Case Report

Author:

Janicijevic Aleksandar1,Jevremovic Anica2,Kovacevic Vojin3,Scepanovic Vuk1,Bogdanovic Ivan1,Repac Nikola1,Djoric Igor4,Tasic Goran12

Affiliation:

1. School of medicine , University of Belgrade , Belgrade , Serbia

2. Clinic for neurosurgery , Clinical center of Serbia , Belgrade , Serbia

3. Department of Surgery, Faculty of medical sciences , University of Kragujevac , Kragujevac , Serbia

4. Department of Radiology , Clinical center of Serbia , Belgrade , Serbia

Abstract

Abstract Aneurysms of the temporal superficial artery (TSA) are very rare clinical entity. From 1861 to the present day, is described less than 200 cases. The 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. Three 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. The aneurysm was resected with uneventful postoperative course. PH findings 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 effective treatment modality and still is the method of choice.

Publisher

Centre for Evaluation in Education and Science (CEON/CEES)

Subject

General Medicine

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