Baldi G, Paini G P, De Donatis M, Cusmano F
Divisione di Neurochirurgia, USL 4 - Parma.
Acta Biomed Ateneo Parmense. 1987;58(3-4):113-6.
Three cases of traumatic arteriovenous fistula of the superficial temporal artery and one of pseudoaneurysm seen over a recent two-year period are presented and the literature is reviewed. Because of the course of the superficial temporal artery over the temporal bone, it is vulnerable to injury. The differential diagnosis includes hematoma, cysts, inflammatory lesions, vascular tumors and aneurysms of the middle meningeal artery. If there is doubt as to the diagnosis, angiography could confirm it, although it is seldom necessary. The treatment is simple and consists of proximal and sital ligation of the artery before aneurysmal sac or fistula removal.
本文报告了最近两年内所见的3例颞浅动脉创伤性动静脉瘘和1例假性动脉瘤,并对相关文献进行了综述。由于颞浅动脉在颞骨表面走行,容易受到损伤。鉴别诊断包括血肿、囊肿、炎性病变、血管肿瘤和脑膜中动脉动脉瘤。如果对诊断有疑问,血管造影可以确诊,不过很少有必要进行。治疗方法简单,在切除动脉瘤囊或瘘管之前,先对动脉进行近端和局部结扎。