Younus Syed Muneeb, Imran Muhammad, Qazi Rabia
Neurosurgery, Dow University of Health Sciences , Karachi , Pakistan.
Front Surg. 2015 Oct 6;2:51. doi: 10.3389/fsurg.2015.00051. eCollection 2015.
Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma. The frequency of pseudoaneurysms of the superficial temporal artery developing after craniotomy is exceedingly low and only a few cases have been reported. We present a case of pseudoaneurysm of this type in a 45-year-old male who underwent craniotomy for excision of meningioma. One month postoperatively, the craniotomy flap exhibited an enormous diffuse pulsate swelling. The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography. Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.
颞浅动脉假性动脉瘤是颈外动脉系统一种罕见的血管病变，多由钝性头部外伤所致。开颅术后发生颞浅动脉假性动脉瘤的频率极低，仅有少数病例报道。我们报告一例45岁男性患者，因脑膜瘤切除术接受开颅手术，术后出现此类假性动脉瘤。术后1个月，开颅皮瓣出现巨大弥漫性搏动性肿胀。血管造影证实了颞浅动脉假性动脉瘤的疑似诊断。进行了手术切除，后续随访未发现肿瘤或动脉瘤复发。
