Symptomatic pseudoaneurysm of the superficial temporal artery associated to pre-occlusive carotid stenosis

To describe a rare case of symptomatic pseudoaneurysm of the superficial termporal artery. ear old man after cranial trauma. A 79-year-old man presented to our hospital with an appearance of a pulsating swelling in the right front-temporal region, with signs of ischemic suffering of the overlying skin. The patient reported having accidentally fallen about 7 days earlier and reported a non-commotional blunt head injury apparently without any subcutaneous hematoma. The patient underwent an echocolordoppler of the pulsating swelling, reporting the presence of a pseudo-aneurysm of the temporal artery and pre-occlusive carotid stenosis. The patient underwent urgent surgery of the pseudoaneurysm and after 30 days, the patient was once again hospitalized in order to perform the carotid endoarterectomy. The course was regular and the patient was discharged on the third postoperative day. At the level of the right frontotemporal region, complete healing of the skin and the absence of pulsating fear were observed.