Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report
Here we present a rare case of a 63-year-old male patient who presented to the emergency department 3 days after a fall from standing height, with a painful nonpulsatile mass in the right occipital region. A computed tomography (CT) angiography revealed a contrast-enhanced round vascular lesion meas...
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| Series: | Indian Journal of Neurosurgery |
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| author | Daniel Andrade Gripp Cleiton Formentin Joab Alves Nicácio Renato Carvalho Santos Ana Carolina Pinheiro Campos Pedro Zambelli Mesquita de Oliveira Jorge Tomio Takahashi Marcos Vinícius Calfat Maldaun |
| author_facet | Daniel Andrade Gripp Cleiton Formentin Joab Alves Nicácio Renato Carvalho Santos Ana Carolina Pinheiro Campos Pedro Zambelli Mesquita de Oliveira Jorge Tomio Takahashi Marcos Vinícius Calfat Maldaun |
| author_sort | Daniel Andrade Gripp |
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| description | Here we present a rare case of a 63-year-old male patient who presented to the emergency department 3 days after a fall from standing height, with a painful nonpulsatile mass in the right occipital region. A computed tomography (CT) angiography revealed a contrast-enhanced round vascular lesion measuring 2.5 cm in diameter, continuous with a terminal branch of the right occipital artery, associated with hematoma in the occipital subgaleal region and no intracranial lesions. A diagnosis of traumatic occipital artery pseudoaneurysm was established. Owing to worsening pain and to mitigate the risk of hemorrhage, surgical intervention was recommended. Successful proximal ligation and bipolar coagulation of the parent artery, along with posterior lesion dissection and excision, were performed. The postoperative course was uneventful. A follow-up CT angiography 2 days later showed complete resolution, and the patient was discharged home with significant improvement in symptoms. |
| format | Article |
| id | doaj-art-644f0ed35f5c4159b8a6ece8f485fc55 |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-644f0ed35f5c4159b8a6ece8f485fc552025-08-20T03:19:32ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-916710.1055/s-0045-1804538Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short ReportDaniel Andrade Gripp0Cleiton Formentin1https://orcid.org/0000-0002-1940-3569Joab Alves Nicácio2Renato Carvalho Santos3Ana Carolina Pinheiro Campos4Pedro Zambelli Mesquita de Oliveira5Jorge Tomio Takahashi6Marcos Vinícius Calfat Maldaun7Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurology, Pontifícia Universidade Católica de Campinas, Campinas-SP, BrazilDepartment of Radiology, Sírio Libanês Hospital, São Paulo-SP, BrazilDepartment of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, BrazilHere we present a rare case of a 63-year-old male patient who presented to the emergency department 3 days after a fall from standing height, with a painful nonpulsatile mass in the right occipital region. A computed tomography (CT) angiography revealed a contrast-enhanced round vascular lesion measuring 2.5 cm in diameter, continuous with a terminal branch of the right occipital artery, associated with hematoma in the occipital subgaleal region and no intracranial lesions. A diagnosis of traumatic occipital artery pseudoaneurysm was established. Owing to worsening pain and to mitigate the risk of hemorrhage, surgical intervention was recommended. Successful proximal ligation and bipolar coagulation of the parent artery, along with posterior lesion dissection and excision, were performed. The postoperative course was uneventful. A follow-up CT angiography 2 days later showed complete resolution, and the patient was discharged home with significant improvement in symptoms.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1804538occipital arterytraumapseudoaneurysm |
| spellingShingle | Daniel Andrade Gripp Cleiton Formentin Joab Alves Nicácio Renato Carvalho Santos Ana Carolina Pinheiro Campos Pedro Zambelli Mesquita de Oliveira Jorge Tomio Takahashi Marcos Vinícius Calfat Maldaun Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report Indian Journal of Neurosurgery occipital artery trauma pseudoaneurysm |
| title | Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report |
| title_full | Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report |
| title_fullStr | Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report |
| title_full_unstemmed | Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report |
| title_short | Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report |
| title_sort | early onset traumatic occipital artery pseudoaneurysm a short report |
| topic | occipital artery trauma pseudoaneurysm |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1804538 |
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