Three Cases of Spontaneous Superficial Temporal Artery Aneurysm with Literature Review
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概要
- 論文の詳細を見る
Spontaneous, nontraumatic, superficial temporal artery (STA) aneurysms have been rarely reported. We herewith report three cases of spontaneous and true STA aneurysms. All patients, a 65-year-old male, a 76-year-old female, and a 47-year-old female, had no history of head trauma that requires medical attention. Painless, pulsatile, and slowly growing calvarial lump was the symptom leading to image studies. All the lumps were preoperatively diagnosed as STA aneurysms by magnetic resonance angiography and/or three-dimensional computed tomographic angiography. One case was accompanied by anterior communicating aneurysm. And another case was associated with two more scalp aneurysms arising from occipital artery and contralateral STA. Pathologic studies showed that all three were true aneurysms, with intact media and adventitia but without organized hematoma. Literature review showed that 8% of all STA aneurysms comprised spontaneous STA aneurysms. We found 32 cases (19 males and 13 females) of well-described spontaneous STA aneurysms including ours. Twenty-eight cases (87.5%) were true aneurysms. Seven cases (21.9%) had coexisting vascular lesions. Five (15.6%) of these seven cases were diagnosed with cerebral or abdominal aneurysm. Multiple scalp aneurysms are quite rare; only two cases including ours have been reported. It seems important to know that spontaneous STA aneurysms may coexist with other vascular lesions including intracranial aneurysm.
- 社団法人 日本脳神経外科学会の論文
著者
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Arita Kazunori
Department Of Earth And Planetary Sciences Hokkaido University
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Yamahata Hitoshi
Department Of Neurosurgery Hokusatsu Hospital
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Tokimura Hiroshi
Department Of Neurosurgery Faculty Of Medicine University Of Kagoshima
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Odashiro Takuya
Department Of Surgery Hiroshima Red Cross Hospital And Atomic-bomb Survivors Hospital
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Nomoto Mitsuharu
Department Of Human Pathology Field Of Oncology Kagoshima University Graduate School Of Medical And
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Kawai Hiroshi
Department Of Applied Chemistry Graduate School Of Engineering Tohoku University
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HAMASAKI Tadashi
Department of Neurosurgery, Kumamoto University
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YAMAHATA Hitoshi
Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University
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IMAMURA Junnichi
Department of Neurosurgery, National Hospital Organization Kagoshima Medical Center
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TOMONORI Norio
Department of Surgery, Kokubu Seikyo Hospital
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KAWAI Hiroshi
Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University
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NOMOTO Mitsuharu
Department of Pathology, National Hospital Organization Kagoshima Medical Center
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Nomoto Mitsuharu
Department of Clinical Pathology, National Hospital Organization, Kagoshima Medical Center, Japan
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ODASHIRO Takuya
Department of Surgery, Odashiro Commemoration Clinic
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