Surgical excision and arterial ligation of a pulsatile left temporal mass resulted in full recovery with no signs of neurovascular compromise at two weeks in a patient with intra-arterial angiolymphoid hyperplasia with eosinophilia.
Case Report (n=1)
No
This case highlights the importance of including angiolymphoid hyperplasia with eosinophilia in the differential diagnosis of pulsatile temporal masses in young patients, which can be effectively managed with surgical excision.
Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare benign vascular disorder that usually involves the head and neck area. The involvement of the superficial temporal artery is unusual and may mimic other inflammatory or vascular conditions. We present a 27-year-old female who presented to the vascular department at King Hussein Medical Center, with a gradual enlarging, pulsatile left temporal mass of three years duration. Imaging displayed a well-defined vascular lesion closely related to the superficial temporal artery. The patient was managed with surgical excision and arterial ligation of the mass. Histopathology confirmed the diagnosis of intra-arterial ALHE. This case highlights the importance of expanding one's differential diagnosis of pulsatile temporal masses in young patients and emphasizes the role of surgical management and histopathological examination.
Asad et al. (2026) conducted a case report in Intra-arterial Angiolymphoid Hyperplasia With Eosinophilia (n=1). Surgical excision and arterial ligation was evaluated on Clinical recovery and absence of neurovascular compromise. Surgical excision and arterial ligation of a pulsatile left temporal mass resulted in full recovery with no signs of neurovascular compromise at two weeks in a patient with intra-arterial angiolymphoid hyperplasia with eosinophilia.