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Superficial temporal artery pseudoaneurysm

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Patient complains of a pulsatile right preauricular mass that was noted in the last month.

Patient Data

Age: 80 years
Gender: Female

CT angiogram shows a saccular dilatation in relationship with the main trunk of the STA. 

Case Discussion

This patient has a previous brain CT from about 6 months ago, made on ER in a context of trauma. No significant findings on that study. 

The clinical diagnosis of a superficial temporal artery pseudoaneurysm is based on a history of trauma or surgery to the temporal region and subsequent development of a preauricular pulsatile mass, like in this case. 

Waiting for pathology confirmation of being a pseudoaneurysm

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