Symptomatic pseudoaneurysm of the superficial temporal artery: three case reports

We present a series of three cases of symptomatic pseudoaneurysms of the superficial temporal artery (STA) following non-concussive head trauma. All patients developed a superficial hematoma associated with a pulsatile swelling, painful on both palpation and spontaneously. Diagnosis was promptly made with color Doppler ultrasound, supplemented by a non-contrast head computed tomography (CT) scan to rule out cranial fractures or cerebral hemorrhages. Management involved ligating the STA both upstream and downstream of the pseudoaneurysm, followed by its excision. This approach effectively resolved the local and regional symptoms through a quick, safe, and minimally invasive procedure.