Abstract
Authors report a rare case of unruptured distal fusiform anterior temporal artery aneurysm in a 63-year-old woman. The only clinical symptom was headache.
Correct localization of the aneurysm was revealed using conventional angiography. Aetiology of bacterial infection, vasculitis, and dissection were excluded by clinical and laboratory examinations as well as by visual inspection during surgery.
The patient underwent planned surgery. Pterional craniotomy and wide Sylvian fissure dissection was performed and the aneurysm was separated from the circulation with two clips.
Vessel patency was confirmed using ICG angiography. With respect to uncertain clinical course of distal anterior temporal aneurysm and possible fatal haemorrhage, the authors recommend using an active approach – separation of the aneurysm from the circulation.