Volume 49, Issue 2 June 2025 JVU 492-100| Vascular Ultrasound Evaluation of a Pseudoaneurysm of the Superficial Temporal Artery: Case Report-Volume 49, Issue 2 June 2025 JVU 492-100| Vascular Ultrasound Evaluation of a Pseudoaneurysm of the Superficial Temporal Artery: Case Report

Volume 49, Issue 2 June 2025 JVU 492-100| Vascular Ultrasound Evaluation of a Pseudoaneurysm of the Superficial Temporal Artery: Case Report

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The article, published in the Journal for Vascular Ultrasound, presents a case study about a pseudoaneurysm of the superficial temporal artery (STA) in a 40-year-old man. This condition is rare and generally arises due to blunt trauma to the head, as seen in this patient who developed a progressively enlarging mass on his forehead following a fall. Pseudoaneurysms of the STA are characterized by aneurysmal development due to damage to vessel walls, as opposed to true aneurysms which involve all arterial wall layers.<br /><br />The patient initially presented with a forehead bump misidentified as a hematoma. Sonography using Doppler ultrasound revealed a vascular pseudoaneurysm with turbulent blood flow. This condition can lead to further complications, including rupture and hemorrhage, if not treated. Initial treatment involved a thrombin injection, partially successful in addressing abnormal flow, but persistent vascular abnormalities necessitated further consultation and potential endovascular intervention, like coil embolization, to manage the condition.<br /><br />The article emphasizes the importance of early diagnosis and treatment to prevent complications, highlighting Doppler ultrasound's role as a valuable tool for diagnosis and monitoring. It provides real-time visualization of anatomy and blood flow, aiding in decision-making for appropriate interventions. The case also underscores the need for a multidisciplinary approach in complex cases, combining vascular surgery and interventional radiology for thorough evaluation and treatment planning.<br /><br />In conclusion, the case illustrates the significance of vascular ultrasound in diagnosing and managing STA pseudoaneurysms, particularly post-trauma. Early intervention can alleviate symptoms and prevent serious outcomes, making it a critical component in patient care for such vascular conditions.

Keywords

pseudoaneurysm

superficial temporal artery

vascular ultrasound

Doppler ultrasound

thrombin injection

endovascular intervention

coil embolization

multidisciplinary approach

trauma

vascular surgery