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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 halo sign of temporal arteritis should not be confused with Deuel's halo sign, which is a sign of fetal death. [ 3 ] The halo sign is also understood as a region of ground-glass attenuation surrounding a pulmonary nodule on an X-ray computed tomography (CT scan) of the chest.
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 current highest standard for diagnosis is a temporal artery biopsy. [12] The skin on the patient's face is anesthetized, and an incision is made in the face around the area of the temples to obtain a sample of the temporal artery. The incision is then sutured.
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.
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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: