Distal Fusiform Aneurysms of the Anterior Temporal Artery –⁠ a Case Report

Czech version

Authors: V. Přibáň ¹; J. Mraček ¹; V. Runt ¹; F. Šlauf ²
Authors‘ workplace: LF UK a FN Plzeň Neurochirurgické oddělení ¹; LF UK a FN Plzeň Klinika zobrazovacích metod ²
Published in: Cesk Slov Neurol N 2013; 76/109(6): 732-735
Category: Case Report

Overview

Authors report a rare case of unruptured distal fusiform anterior temporal artery aneurysm in a 63-year-old woman. The only clinical symptom was headache. Correct localization of the aneurysm was revealed using conventional angiography. Aetiology of bacterial infection, vasculitis, and dissection were excluded by clinical and laboratory examinations as well as by visual inspection during surgery. The patient underwent planned surgery. Pterional craniotomy and wide Sylvian fissure dissection was performed and the aneurysm was separated from the circulation with two clips. Vessel patency was confirmed using ICG angiography. With respect to uncertain clinical course of distal anterior temporal aneurysm and possible fatal haemorrhage, the authors recommend using an active approach –⁠ separation of the aneurysm from the circulation.

Key words:
intracranial aneurysms –⁠ fusiform aneurysms –⁠ anterior temporal artery –⁠ middle cerebral artery

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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