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Open Access 26-07-2024 | Aneurysm | Case report

Superficial temporal artery aneurysm misdiagnosed in a patient with long-term migraine headache treatment: a case report

Authors: Meghdad Ghasemi Gorji, Ali Rafiei, Amirhossein Rajabi

Published in: Journal of Medical Case Reports | Issue 1/2024

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Abstract

Background

Superficial temporal artery aneurysm is a rare vascular abnormality without specific clinical symptoms. In this case report, we present the case of a patient with superficial temporal artery aneurysm who was diagnosed with migraine headache at first.

Case presentation

A 60-year-old Iranian man with a previous history of headaches, who did not respond properly to the treatments following the initial diagnosis of migraine, presented with a painless lump in the left temporal region, and he was diagnosed with superficial temporal artery aneurysm via Doppler ultrasound. Finally, surgical removal of the left superficial temporal artery aneurysm was performed.

Conclusions

This case shows the importance of vascular causes in the approach to headache etiologies, especially when the headache is prolonged without proper responses to treatment. Computed tomography angiography and magnetic resonance angiography are appropriate diagnostic methods for aneurysm detection that should be considered in future studies.
Literature
1.
go back to reference van Uden DJ, Truijers M, Schipper EE, Zeebregts CJ, Reijnen MM. Superficial temporal artery aneurysm: diagnosis and treatment options. Head Neck. 2013;35(4):608–14.CrossRefPubMed van Uden DJ, Truijers M, Schipper EE, Zeebregts CJ, Reijnen MM. Superficial temporal artery aneurysm: diagnosis and treatment options. Head Neck. 2013;35(4):608–14.CrossRefPubMed
2.
go back to reference García-Azorín D, Farid-Zahran M, Gutiérrez-Sánchez M, González-García MN, Guerrero AL, Porta-Etessam J. Tension-type headache in the Emergency Department Diagnosis and misdiagnosis: the TEDDi study. Sci Rep. 2020;10(1):2446.CrossRefPubMedPubMedCentral García-Azorín D, Farid-Zahran M, Gutiérrez-Sánchez M, González-García MN, Guerrero AL, Porta-Etessam J. Tension-type headache in the Emergency Department Diagnosis and misdiagnosis: the TEDDi study. Sci Rep. 2020;10(1):2446.CrossRefPubMedPubMedCentral
3.
go back to reference Relja G, Granato A, Capozzoli F, Maggiore C, Catalan M, Pizzolato G, et al. Nontraumatic headache in the Emergency Department: a survey in the province of Trieste. J Headache Pain. 2005;6(4):298–300.CrossRefPubMedPubMedCentral Relja G, Granato A, Capozzoli F, Maggiore C, Catalan M, Pizzolato G, et al. Nontraumatic headache in the Emergency Department: a survey in the province of Trieste. J Headache Pain. 2005;6(4):298–300.CrossRefPubMedPubMedCentral
4.
5.
go back to reference Ohta H, Sakai H, Nakahara I, Sakai N, Nagata I, Ishibashi-Ueda H. Spontaneous superficial temporal artery aneurysm associated with multiple intracranial cerebral aneurysms–does it segmental mediolytic arteriopathy of the intra- and extra-cranial arteries? Acta Neurochir. 2003;145(9):805–6.CrossRefPubMed Ohta H, Sakai H, Nakahara I, Sakai N, Nagata I, Ishibashi-Ueda H. Spontaneous superficial temporal artery aneurysm associated with multiple intracranial cerebral aneurysms–does it segmental mediolytic arteriopathy of the intra- and extra-cranial arteries? Acta Neurochir. 2003;145(9):805–6.CrossRefPubMed
6.
go back to reference Imamura J, Tomonori N, Odashiro T, Yamahata H, et al. Three cases of spontaneous superficial temporal artery aneurysm with literature review. Neurol Med Chir. 2014;54(10):854–60.CrossRef Imamura J, Tomonori N, Odashiro T, Yamahata H, et al. Three cases of spontaneous superficial temporal artery aneurysm with literature review. Neurol Med Chir. 2014;54(10):854–60.CrossRef
7.
go back to reference Delen E, Ozkara E, Aydin HE, Ozbek Z. True aneurysm of superficial temporal artery accompanying multiple intracranial aneurysm. Asian J Neurosurg. 2016;11(1):76–7.PubMedPubMedCentral Delen E, Ozkara E, Aydin HE, Ozbek Z. True aneurysm of superficial temporal artery accompanying multiple intracranial aneurysm. Asian J Neurosurg. 2016;11(1):76–7.PubMedPubMedCentral
8.
go back to reference Mahajan A, Goel G, Banga V, Das B. An unusual association of hemihypertrophy with extracranial and intracranial aneurysms. Neurol India. 2021;69(5):1481.PubMed Mahajan A, Goel G, Banga V, Das B. An unusual association of hemihypertrophy with extracranial and intracranial aneurysms. Neurol India. 2021;69(5):1481.PubMed
Metadata
Title
Superficial temporal artery aneurysm misdiagnosed in a patient with long-term migraine headache treatment: a case report
Authors
Meghdad Ghasemi Gorji
Ali Rafiei
Amirhossein Rajabi
Publication date
26-07-2024
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2024
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-024-04647-4

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