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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 11-June-2010, Vol 123 No 1316

A thump and an expanding lump
Manar Khashram, Christopher M Holdaway
An 84-year-old woman was referred to the emergency department by her general practitioner following attempted aspiration of a forehead mass. She reported a 5-week history of an expanding mass on the left temporal region following a fall with minor head trauma. The mass was associated with left facial pain and numbness.
Her medical history included atrial fibrillation and she was on warfarin. On examination there was a 4cm by 2cm pulsatile mass (see Figure 1).

Figure 1. Pulsatile mass on the left temporal region with fresh bleeding from the attempted aspiration site

What is the diagnosis?
Author information: Manar Khashram, House Surgeon; Christopher M Holdaway, Vascular Surgeon; Department of Vascular Surgery, Waikato Hospital, Hamilton
Correspondence: Dr Manar Khashram, Private Bag 3200, Hamilton 3240, New Zealand. Email: manar.khashram@gmail.com
References:
  1. Pipinos II, Dossa CD, Reddy DJ. Superficial temporal artery aneurysms. J Vasc Surg. 1998;27:374-7
  2. Kawabori M, Kuroda S, Nakayama N, et al. Spontaneous giant aneurysm of the superficial temporal artery-Case report. Neurol Med Chir (Tokyo). 2009;49:198-201.
     
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