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      Novel Onset of a Posttraumatic Superficial Temporal Artery Pseudoaneurysm

      case-report

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          Abstract

          Less than 200 cases of posttraumatic superficial temporal artery pseudoaneurysm have been described in the literature. The majority of these cases result from blunt head trauma and are diagnosed an average of three weeks following the inciting traumatic event. In this case report, we describe a superficial temporal artery pseudoaneurysm that developed and was diagnosed the same day of a blunt head trauma in a 54-year-old white male. This is the earliest formation/diagnosis of post-traumatic superficial temporal artery pseudoaneurysm yet reported in the literature. This case report demonstrates that this diagnosis should be kept in the list of differential diagnoses for a post-traumatic soft tissue mass of the face, even immediately following the traumatic event.

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          Most cited references16

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          Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998.

          The branches of the external carotid artery are protected from injury in most locations by an adequate buffer of soft tissue. On occasion, the vessels approach the surface to cross bone structures, and in these key areas they become vulnerable to blunt trauma. The facial, superficial temporal, and terminal branches of the internal maxillary arteries are the branches most often affected via this mechanism of injury. In addition, damage to deeper branches of the internal maxillary artery and to the subparotid portion of the superficial temporal artery has been reported secondary to maxillary fractures and craniofacial surgery. A brief patient report illustrates the highlights of clinical examination, diagnostic study, and surgical management of an aneurysm of the facial artery. A review of the world literature since 1644 has revealed 386 patients with traumatic aneurysms of the face and temple.
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            Superficial temporal artery aneurysm: Diagnosis and treatment options.

            Superficial temporal artery (STA) aneurysms are an uncommon entity and mostly described in case studies. The purpose of this review was to show the studied clinical presentation, diagnostic modalities, and treatment modalities of STA aneurysms.
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              Traumatic pseudoaneurysm of the superficial temporal artery treated by endovascular coil embolization.

              We describe an exceptional case of a traumatic pseudoaneurysm of the superficial temporal artery (STA), which was treated with microcoil embolization of the anterior branch of the STA. We conclude that endovascular coil embolization can be an option of in the treatment of STA pseudoaneurysms.
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                Author and article information

                Journal
                Case Rep Emerg Med
                Case Rep Emerg Med
                CRIM.EM
                Case Reports in Emergency Medicine
                Hindawi Publishing Corporation
                2090-648X
                2090-6498
                2013
                17 July 2013
                : 2013
                : 369309
                Affiliations
                Department of Surgery, St. Luke's Hospital, 4320 Wornall Road Medical Plaza 1, Suite 530, Kansas City, MO 64111, USA
                Author notes
                *Kenneth D. Jackson: jacksonken@ 123456umkc.edu

                Academic Editors: L. Bojić and W. D. Grant

                Article
                10.1155/2013/369309
                3730144
                23956887
                709a722f-8799-43a6-a80e-b54c1ab161ba
                Copyright © 2013 Alexandra A. Roman et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 March 2013
                : 24 June 2013
                Categories
                Case Report

                Emergency medicine & Trauma
                Emergency medicine & Trauma

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