Superficial temporal artery aneurysms

Abstract Objective: We analyzed the data from our vascular registry to determine the cause, clinical features, and cost-effective management of this uncommon pathologic entity. Design: Patients referred to the vascular surgery outpatient clinic of a tertiary referral center during the past 18 years were evaluated. Subjects: 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. Intervention: 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. Results: The symptoms were resolved. No recurrences or other complications were seen. Conclusions: 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. (J Vasc Surg 1998;27:374-7.)