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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0045-1804538
Brief Report

Early-Onset Traumatic Occipital Artery Pseudoaneurysm: A Short Report

Daniel Andrade Gripp
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
,
Cleiton Formentin 
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
2   Department of Neurology, University of Campinas, Campinas-SP, Brazil
,
Joab Alves Nicácio Jr
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
,
Renato Carvalho Santos
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
,
Ana Carolina Pinheiro Campos
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
,
Pedro Zambelli Mesquita de Oliveira
3   Department of Neurology, Pontifícia Universidade Católica de Campinas, Campinas-SP, Brazil
,
Jorge Tomio Takahashi
4   Department of Radiology, Sírio Libanês Hospital, São Paulo-SP, Brazil
,
Marcos Vinícius Calfat Maldaun
1   Department of Neurosurgery, Sírio Libanês Hospital, São Paulo-SP, Brazil
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Abstract

Here we present a rare case of a 63-year-old male patient who presented to the emergency department 3 days after a fall from standing height, with a painful nonpulsatile mass in the right occipital region. A computed tomography (CT) angiography revealed a contrast-enhanced round vascular lesion measuring 2.5 cm in diameter, continuous with a terminal branch of the right occipital artery, associated with hematoma in the occipital subgaleal region and no intracranial lesions. A diagnosis of traumatic occipital artery pseudoaneurysm was established. Owing to worsening pain and to mitigate the risk of hemorrhage, surgical intervention was recommended. Successful proximal ligation and bipolar coagulation of the parent artery, along with posterior lesion dissection and excision, were performed. The postoperative course was uneventful. A follow-up CT angiography 2 days later showed complete resolution, and the patient was discharged home with significant improvement in symptoms.

Keywords

occipital artery - trauma - pseudoaneurysm


Publikationsverlauf

Artikel online veröffentlicht:
02. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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