Ofluoğlu Ender, Karasu Aykut, Tural Selin, Toplamaoğlu Halil
3rd Department of Neurosurgery, Bakirköy Mental Health and Neurological Diseases Training and Research Hospital, 34690 Sişli, Istanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2006 Oct;12(4):318-20.
Traumatic aneurysm of superficial temporal artery is an uncommon lesion. Blunt traumas of war, firearm, motorized vehicle and sport injuries are common causes. In this case, traumatic aneurysm of superficial temporal artery that occurs after scalp trauma in 74 years old male patient, was reported. Patient who suffers from a mass in his forehead ten days after trauma was admitted to our clinic. Selective angiography of the right temporal artery was performed as traumatic aneurysm was suspected upon the findings of physical examination and cranial computerized tomography studies. The aneurysm was detected. The proximal and distal part of the aneurysm was ligated and it was totally removed under general anesthesia. The histopathological investigation confirmed the presence of the traumatic aneurysm. Especially in hairy skin injuries, traumatic lesions should be considered as an aneurysm. Diagnosis, treatment, and surgical strategy must be planned by the help of these informations.
颞浅动脉创伤性动脉瘤是一种罕见的病变。战争、火器、机动车辆钝器伤和运动损伤是常见病因。本文报告了一例74岁男性患者头皮外伤后发生的颞浅动脉创伤性动脉瘤。患者外伤后10天前额出现肿块，遂入住我院。根据体格检查和头颅计算机断层扫描结果怀疑为创伤性动脉瘤，遂行右侧颞动脉选择性血管造影。动脉瘤被发现。在全身麻醉下结扎动脉瘤的近端和远端并将其完全切除。组织病理学检查证实为创伤性动脉瘤。特别是在头皮损伤中，创伤性病变应考虑为动脉瘤。必须借助这些信息来制定诊断、治疗和手术策略。
