{"id":"56f4d08b-048f-44a9-9057-29eb988a9f31","slug":"postcraniotomy-superficial-temporal-artery-pseudoaneurysm-in-the-setting-of-triple-h-therapy-a-case-report-and-literature-review","title":"Postcraniotomy superficial temporal artery pseudoaneurysm in the setting of triple H therapy: A case report and literature review","authors":["Sergei Terterov","Nancy McLaughlin","Neil A. Martin"],"abstract":"Background: Superficial temporal artery (STA) pseudoaneurysm after a craniotomy is very rare with only five cases reported in the literature, none manifesting in the setting of cerebral vasospasm treatment with triple H therapy. Case Description: A 31-year-old male was admitted after a syncopal episode. Imaging documented a ruptured anterior communicating artery aneurysm. He was taken to the operating room for aneurysm clipping, but the procedure was aborted due to intraoperative aneurysm re-rupture, at which point the patient underwent emergent coil embolization of the aneurysm. The postoperative course was complicated by severe cerebral vasospasm requiring prolonged triple H therapy. On postoperative day 22, a growing left temporal mass with a bruit was noted. The suspected diagnosis of STA pseudoaneurysm was confirmed by femoral angiography, and it was treated with coils and Onyx embolization. Conclusion: We report the first case of a postcraniotomy STA pseudoaneurysm in the setting of induced hypertension for the treatment of cerebral vasospasm. Endovascular embolization is a viable option for the treatment of an STA pseudoaneurysm.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/56f4d08b-048f-44a9-9057-29eb988a9f31/featured/hero-1782420795018.png","publishDate":"2012-11-27T00:00:00.000Z","doi":"10.4103/2152-7806.103877","categories":["Original Article"],"fullTextUrl":"http://sni.wpengine.com/wp-content/uploads/2015/05/3479/SNI-3-139.pdf"}