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Angiographically Progressive Change of Traumatic Pseudoaneurysm Arising from the Middle Meningeal Artery

  • Lee, Jae-Yoon (Department of Neurosurgery, Konyang University Hospital) ;
  • Lee, Cheol-Young (Department of Neurosurgery, Konyang University Hospital) ;
  • Kim, Hyun-Woo (Department of Neurosurgery, Konyang University Hospital)
  • Received : 2013.07.23
  • Accepted : 2014.02.04
  • Published : 2014.11.28

Abstract

Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare phenomenon, which are usually associated with head trauma such as an underlying skull fracture. They were usually known to cause acute or delayed epidural hematomas but can be associated with subdural, subarachnoid, or even intracerebral hemorrhage. Sometimes, a high mortality rate was reported in these circumferences. But the natural course of these pseudoaneurysms is not well recognized. The indication and guideline of treatment for pseudoaneurysm are also unclear. This report describes a rare case of angiographically progressive change of traumatic pseudoaneurysm of the middle meningeal artery for one week, which was treated with endovascular embolization.

Keywords

References

  1. Albert FK, Oldenkott P, Sigmund E : [Subarachnoid hemorrhage and intracerebral hematoma in injury of the middle meningeal artery (aneurysma spurium)]. Zentralbl Neurochir 50 : 153-156, 1989
  2. Aoki N, Sakai T, Kaneko M : Traumatic aneurysm of the middle meningeal artery presenting as delayed onset of acute subdural hematoma. Surg Neurol 37 : 59-62, 1992 https://doi.org/10.1016/0090-3019(92)90068-X
  3. Benoit BG, Wortzman G : Traumatic cerebral aneurysms. Clinical features and natural history. J Neurol Neurosurg Psychiatry 36 : 127-138, 1973 https://doi.org/10.1136/jnnp.36.1.127
  4. Bruneau M, Gustin T, Zekhnini K, Gilliard C : Traumatic false aneurysm of the middle meningeal artery causing an intracerebral hemorrhage : case report and literature review. Surg Neurol 57 : 174-178; discussion 178, 2002 https://doi.org/10.1016/S0090-3019(01)00668-1
  5. Higazi I, el-Banhawy A, el-Nady F : Importance of angiography in identifying false aneurysm of the middle meningeal artery as a cause of extradural hematoma. Case report. J Neurosurg 30 : 172-176, 1969 https://doi.org/10.3171/jns.1969.30.2.0172
  6. Kahara VJ : Middle meningeal artery aneurysm. Case illustration. J Neurosurg 91 : 518, 1999 https://doi.org/10.3171/jns.1999.91.3.0518
  7. Kawaguchi T, Kawano T, Kaneko Y, Ooasa T, Ooigawa H, Ogasawara S : Traumatic lesions of the bilateral middle meningeal arteries--case report. Neurol Med Chir (Tokyo) 42 : 221-223, 2002 https://doi.org/10.2176/nmc.42.221
  8. Kim JH, Yim MB, Lee CY, Kim IM : Surgical management of pseudoaneurysm. J Korean Neurosurg Soc 30 : 307-318, 2001
  9. Kuhn RA, Kugler H : False aneurysms of the middle meningeal artery. J Neurosurg 21 : 92-96, 1964 https://doi.org/10.3171/jns.1964.21.2.0092
  10. Lim DH, Kim TS, Joo SP, Kim SH : Intracerebral hematoma caused by ruptured traumatic pseudoaneurysm of the middle meningeal artery : a case report. J Korean Neurosurg Soc 42 : 416-418, 2007 https://doi.org/10.3340/jkns.2007.42.5.416
  11. Meder JF, Gaston A, Merienne L, Godon-Hardy S, Fredy D : Traumatic aneurysms of the internal and external carotid arteries. One case and a review of the literature. J Neuroradiol 19 : 248-255, 1992
  12. Namba K, Ban S, Oda Y, Tazumi M, Ogata M : [Case of traumatic false aneurysm of the middle meningeal artery with epidural hematoma--comparison with a case resulting in spontaneous thrombosis]. Rinsho Shinkeigaku 12 : 165-170, 1972
  13. New PF : True aneurysm of the middle meningeal artery, cranial Paget's disease and hypertension : a triad. Clin Radiol 18 : 154-157, 1967 https://doi.org/10.1016/S0009-9260(67)80008-4
  14. O'Neill OR, Barnwell SL, Silver DJ : Middle meningeal artery aneurysm associated with meningioma : case report. Neurosurgery 36 : 396-398, 1995 https://doi.org/10.1227/00006123-199502000-00022
  15. Parkinson D, West M : Traumatic intracranial aneurysms. J Neurosurg 52 : 11-20, 1980 https://doi.org/10.3171/jns.1980.52.1.0011
  16. Sandin JA 3rd, Salamat MS, Baskaya M, Dempsey RJ : Intracerebral hemorrhage caused by the rupture of a nontraumatic middle meningeal artery aneurysm. Case report and review of the literature. J Neurosurg 90 : 951-954, 1999 https://doi.org/10.3171/jns.1999.90.5.0951
  17. Srinivasan A, Lesiuk H, Goyal M : Spontaneous resolution of posttraumatic middle meningeal artery pseudoaneurysm. AJNR Am J Neuroradiol 27 : 882-883, 2006

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