Introduction: Superficial temporal artery aneurysms (STAAs) occur in 1% of arterial aneurysms; mostly (95%) are pseudoaneurysms following trauma; true aneurysms are rare (5%); forty-five cases are reported. Aim: To report a rare case of a congenital STAAA. Case Report: A67-year-old patient recalled the existence of a true-histologically evidenced- aneurysm of the right superficial temporal artery since his childhood denying any head injury; it was resected through a horizontal skin incisure. Brain arteries’ magnetic imaging was negative. Conclusion: Spontaneous or congenital STAAs have to be removed respecting forehead lines. Intracranial vasculature must be investigated.
superficial temporal artery, aneurysm, true, congenital.