Pipinos I I, Dossa C D, Reddy D J
Henry Ford Hospital, Department of Surgery, Detroit, Mich. 48202, USA.
J Vasc Surg. 1998 Feb;27(2):374-7. doi: 10.1016/s0741-5214(98)70371-4.
We analyzed the data from our vascular registry to determine the cause, clinical features, and cost-effective management of this uncommon pathologic entity.
Patients referred to the vascular surgery outpatient clinic of a tertiary referral center during the past 18 years were evaluated.
The subjects were six male patients (14 to 32 years) referred for evaluation of a unilateral pulsatile mass over the temporal region of the head.
Diagnosis of superficial temporal artery aneurysm was verified by loss of the aneurysm's pulse with compression of the ipsilateral proximal superficial temporal artery. All treated aneurysms were electively ligated and excised as an ambulatory procedure.
The symptoms were resolved. No recurrences or other complications were seen.
Although rare, a superficial temporal artery aneurysm should be considered when a temporal head mass is evaluated. This condition is almost always a result of blunt or penetrating head trauma. Clinical examination is sufficient to confirm the diagnosis. Simple elective ligation and excision of the aneurysm is curative.
我们分析了血管登记处的数据，以确定这种罕见病理实体的病因、临床特征和成本效益管理方法。
对过去18年转诊至三级转诊中心血管外科门诊的患者进行评估。
研究对象为6名男性患者（年龄14至32岁），因头部颞区单侧搏动性肿块前来评估。
通过压迫同侧颞浅动脉近端使动脉瘤搏动消失，证实为颞浅动脉瘤。所有接受治疗的动脉瘤均择期结扎并切除，作为门诊手术。
症状得到缓解。未见复发或其他并发症。
虽然罕见，但在评估颞部头部肿块时应考虑颞浅动脉瘤。这种情况几乎总是钝性或穿透性头部外伤的结果。临床检查足以确诊。简单的择期结扎和切除动脉瘤可治愈。
