This is a case report of a 72-year-old female who presented to our clinic with right temple mass that was found incidentally on a magnetic resonance imaging (MRI) of her head about 2 years ago, as part of a stroke workup. However, it was thought to be a sebaceous cyst and left as such. The patient then experienced a rapid increase in the size of the mass about 2 weeks prior to her presentation to us. On examination, she had a 2 × 2 cm pulsating aneurysmal mass over the right temporal fossa, which was felt to be an aneurysm of the superficial temporal artery and was confirmed by a color duplex ultrasound examination. Open surgical resection with primary ligation of both proximal and distal branches was achieved under local anesthesia. Pathology confirmed a true (degenerative) aneurysm of the superficial temporal artery. Her postoperative course was uneventful. This case report describes this rare entity along with a review of the literature.
Lau C., Knutson GHTraumatic aneurysm of the temporal artery: a report of two cases. Can J Surg. 1969;12(4):432-434.
13.
Matsubara J. , Shionoya S., Ban I., Nakata Y., Miyazaki H.False aneurysm of the superficial temporal artery. Am J Surg. 1972; 124(3):419-421.
14.
Golden GT, Fox JW, Williams GS, Edgerton MTTraumatic aneurysm of the superficial temporal artery. Squash-ball disease. JAMA. 1975;234(5):517-518.
15.
Manship LL, Haynes JL, Bunt TJTraumatic aneurysm of superficial temporal artery. Am Surg . 1986;52(1):49-52.
16.
Sakamoto T. , Sugimoto M., Kakigi A., et al. A spontaneous true aneurysm of the superficial temporal artery treated by surgical resection. Auris Nasus Larynx.2011;38(1):119-122.
17.
Winslow N.Aneurysm of the temporal artery. Surgery. 1935;28: 696-702.
18.
Isla A., Alvarez F., Roda JM, Munoz J., Morales C., Garcia Blazquez M.Serpentine aneurysm: regrowth after a superficial temporal artery-middle cerebral artery bypass and internal carotid artery ligation: case report. Neurosurgery. 1994;34(6): 1072-1074.
19.
Kurokawa T., Harada K., Ishihara H., et al. De novo aneurysm formation on middle cerebral artery branches adjacent to the anastomotic site of superficial temporal artery-middle cerebral artery bypass surgery in two patients: technical case report. Neurosurgery. 2007;61(5)(suppl2):E297-E298; discussion E298.
20.
Murphy JG, Mikhail W., Condon KCTraumatic aneurysm of the superficial temporal artery, secondary to hair transplantation . Ir Med J. 1981;74(5):139.
21.
Fernandez-Portales I., Cabezudo JM, Lorenzana L., Gomez L., Porras L., Rodriguez JATraumatic aneurysm of the superficial temporal artery as a complication of pin-type head-holder device. Case report. Surg Neurol. 1999;52(4):400-403.
22.
Mattens M., Hessmann M., Lesceu O., Rumbaut J.Traumatic false aneurysm of the superficial temporal artery. Acta Chir Belg. 1992; 92(4):201-203.
23.
Matsuda M., Shiino A., Handa J.Rupture of previously unruptured giant carotid aneurysm after superficial temporal-middle cerebral artery bypass and internal carotid occlusion. Neurosurgery. 1985; 16(2):177-184.
24.
Myer CM 3rd , Donegan JOTraumatic aneurysm of the proximal superficial temporal artery. Head Neck Surg. 1982;5(2):181-185.
25.
Hong JT, Lee SW, Ihn YK, et al. Traumatic pseudoaneurysm of the superficial temporal artery treated by endovascular coil embolization. Surg Neurol. 2006;66(1):86-88.
26.
Mann GS, Heran MKPercutaneous thrombin embolization of a post-traumatic superficial temporal artery pseudoaneurysm. Pediatr Radiol. 2007 ;37(6):578-580.
27.
Bobinski L. , Bostrom S., Hillman J., Theodorsson A.Postoperative pseudoaneurysm of the superficial temporal artery (S.T.A.) treated with thrombostat (thrombin glue) injection . Acta Neurochir (Wien). 2004;146(9):1039-1041; discussion 1041.
28.
Partap VA, Cassoff J., Glikstein R.US-guided percutaneous thrombin injection: a new method of repair of superficial temporal artery pseudoaneurysm. J Vasc Interv Radiol. 2000;11(4):461-463.
