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The temporal area may be tender. [21] Decreased pulses may be found throughout the body [21] Evidence of ischemia may be noted on fundal exam. [21] Bruits may be heard over the subclavian and axillary arteries [21] Intermediate magnification micrograph showing giant cell arteritis in a temporal artery biopsy. The arterial lumen is seen on the left.
The parietal branch of the superficial temporal artery (posterior temporal) is a small artery in the head.It is larger than the frontal branch and curves upward and backward on the side of the head, lying superficial to the temporal fascia; it joins with its fellow of the opposite side, and with the posterior auricular and occipital arteries.
A temporal artery biopsy (TAB) can be performed to differentiate between the two disease states. [13] As the disease progresses, the arteriosclerosis results in the obstruction of normal blood flow, and potentially the formation of blood clots.
The anterior auricular branches of the superficial temporal artery are distributed to the anterior portion of the auricula, the lobule, and part of the external meatus, anastomosing with the posterior auricular. They supply the external acoustic meatus and the visible part of the ear. Arterial vascular pattern of the auricle:
The temporoparietal fascia can serve as a donor tissue for reconstructive surgery.It affords reliable flaps with good blood supply when the tissues of the region are intact (however, prior lesions to the region may compromise the blood supply of the tissues; creating flaps from such compromised tissue is contraindicated due to a risk of subsequent ischaemic necrosis of the flap).
Temporal arteritis is an inflammation of vessels close to the temples in older people, which decreases blood flow to the brain and causes pain. May also have tenderness in temples or jaw claudication. Some brain cancers are more common in older people. Erythrocyte sedimentation rate (diagnostic test for temporal arteritis), neuroimaging
The deep temporal arteries anastomose with the middle temporal artery. The anterior artery communicates with the lacrimal artery [1] by means of small branches which perforate the zygomatic bone and greater wing of the sphenoid bone. It may also communicate with the ophthalmic artery, a branch of the internal carotid artery. [1]
Surgery is required if the hematoma is greater than 3 cm (1 in), if there is a structural vascular lesion or lobar hemorrhage in a young patient. [34] A catheter may be passed into the brain vasculature to close off or dilate blood vessels, avoiding invasive surgical procedures. [45]