Zhang Daobao, Liu Zhiyong, Xu Jianguo
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China; Department of Neurosurgery, the People's Hospital of Leshan, Leshan, China.
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
World Neurosurg. 2018 Jul;115:264-265. doi: 10.1016/j.wneu.2018.03.223. Epub 2018 Apr 9.
An 83-year-old woman presented with a lump on her left frontal region. One month ago, she fell and hit the ground with the left side of her head. However, she had no evidence of injury. After 10 days, a progressive, painless lump appeared where her head was injured. The lump was pulsatile, but it not obviously shrank subtly in size with compression of her left superficial temporal artery. The ultrasound examination in local hospital demonstrated a pseudoaneurysm. Head computed tomography showed an isodense subcutaneous lesion in her left frontal area. Further 3-dimensional reconstruction of contrast-enhanced computed tomography indicated an aneurysm from her left superficial temporal artery. The aneurysm was completely removed by surgery, and pathologic examination confirmed pseudoaneurysm. Because the pseudoaneurysm was large, the disadvantage of the endovascular treatment options could be a permanent lump. Our patient received a surgical resection without facial nerve damage.
一名83岁女性因左侧额部肿块就诊。1个月前，她摔倒，头部左侧着地。然而，当时并无损伤迹象。10天后，在其头部受伤处出现一个进行性、无痛性肿块。该肿块有搏动性，但压迫左侧颞浅动脉后大小并无明显缩小。当地医院的超声检查显示为假性动脉瘤。头部计算机断层扫描显示左侧额部有一等密度皮下病变。进一步的增强计算机断层扫描三维重建显示来自左侧颞浅动脉的动脉瘤。通过手术将动脉瘤完全切除，病理检查证实为假性动脉瘤。由于假性动脉瘤较大，血管内治疗方案的缺点可能是留下永久性肿块。我们的患者接受了手术切除，且未损伤面神经。
