• Acta neurochirurgica · Sep 2004

    Case Reports

    Postoperative pseudoaneurysm of the superficial temporal artery (S.T.A.) treated with Thrombostat (thrombin glue) injection.

    • L Bobinski, S Boström, J Hillman, and A Theodorsson.
    • Department of Neurosurgery, University Hospital, SE-581 85 Linköping, Sweden.
    • Acta Neurochir (Wien). 2004 Sep 1; 146 (9): 1039-41; discussion 1041.

    BackgroundPseudo-aneurysm is a rare complication of craniotomy. Blunt injury to the temporal artery region is the usual cause, but still a rare complication.Clinical PresentationA patient with subarachnoid hemorrhage was successfully treated by aneurysm clipping. The patient developed hydrocephalus, and was admitted for a shunt operation seventeen days later. The craniotomy had healed normally, but a palpable temporal lump was present in the skin incision.InterventionThe pulsating mass proved to be a postoperative aneurysm of the superficial temporal artery (S.T.A.) and was successfully occluded with 500 units Thrombostat (thrombin glue) which was injected into the aneurysm sac using a 22-gauge needle guided by ultrasound. The permanency of the obliteration was verified by ultrasound examination.

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