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

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Meghdad Ghasemi Gorji, Ali Rafiei, Amirhossein Rajabi
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引用次数: 0

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.

一名长期接受偏头痛治疗的患者被误诊为颞浅动脉瘤:病例报告。
背景:颞浅动脉瘤是一种罕见的血管畸形,没有特殊的临床症状。在本病例报告中,我们介绍了一名颞浅动脉瘤患者的病例,该患者最初被诊断为偏头痛:一名 60 岁的伊朗男子既往有头痛病史,最初被诊断为偏头痛后治疗效果不佳,后来出现左侧颞部无痛肿块,通过多普勒超声检查被诊断为颞浅动脉瘤。最后,手术切除了左侧颞浅动脉瘤:本病例显示了血管病因在头痛病因治疗中的重要性,尤其是当头痛持续时间较长而治疗效果不佳时。计算机断层扫描血管造影术和磁共振血管造影术是检测动脉瘤的适当诊断方法,应在今后的研究中加以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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