DÄ internationalArchive5/2021Post-Traumatic Aneurysms of the Superficial Temporal Artery

Clinical Snapshot

Post-Traumatic Aneurysms of the Superficial Temporal Artery

Dtsch Arztebl Int 2021; 118: 70. DOI: 10.3238/arztebl.m2021.0101

Gressenberger, P; Gütl, K; Jud, P

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A 21-year-old male presented with two painless, compressible, pulsatile nodules on the left temple that had spontaneously appeared 1 week previously. The patient‘s history revealed that he was a semi-professional Muay Thai boxer and usually trained without a helmet. The physical examination was unremarkable except for the two temporal nodules. Investigations for possible vasculitis, including laboratory parameters, yielded normal results. Duplex ultrasound showed two true aneurysms of the left superficial temporal artery (2.8 × 4.6 mm and 3.0 × 4.8 mm) with normal, arterial perfusion, whereas the literature usually describes pseudoaneurysms following trauma. In this particular case, repetitive shearing and crushing forces possibly triggered a pathological process that promoted the development of the true aneurysms. Although surgical removal of the aneurysms would normally be indicated, the patient declined surgical resection. Therefore, we advised him to wear a suitable helmet during sports in order to avoid further trauma to the head.

Dr. med. univ. Paul Gressenberger, Dr. med. univ. Katharina Gütl, Dr. med. univ. Philipp Jud, Division of Angiology, Medical University Graz, paul.gressenberger@medunigraz.at

Conflict of interest statement: The authors declare that no conflict of interest exists.

Translated from the original German by Christine Rye.

Cite this as: Gressenberger P, Gütl K, Jud P: Post-traumatic aneurysms of the superficial temporal artery. Dtsch Arztebl Int 2021; 118: 70. DOI: 10.3238/arztebl.m2021.0101