Document Detail

Traumatic middle meningeal artery pseudoaneurysm and subsequent fistula formation with the cavernous sinus: case report.
MedLine Citation:
PMID:  12504299     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A combination of pseudoaneurysm and arteriovenous fistula of the middle meningeal artery is rare. We describe a case of traumatic pseudoaneurysm of the middle meningeal artery, which subsequently formed a fistula with the cavernous sinus. CASE DESCRIPTION: A 23-year-old man suffered from blunt head trauma and skull fractures. Sixteen days later, he suddenly experienced headache and a bruit was auscultated over the left ear. Three-dimensional computed tomographic angiography revealed dilatation of the left middle meningeal artery. The dilation proved to be a pseudoaneurysm on cerebral angiograms and it was also found to have formed a fistula with the cavernous sinus. Both lesions were successfully obliterated by endovascular embolization using microcoils. CONCLUSION: Head injury may lead to asymptomatic pseudoaneurysm or dural arteriovenous fistula. Neurosurgeons should always bear in mind the possibility of such vascular injuries after blunt head trauma to prevent any hemorrhagic complications.
Masanori Tsutsumi; Kiyoshi Kazekawa; Akira Tanaka; Yasushi Ueno; Yasuyuki Nomoto; Kohei Nii; Hiroshi Harada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  58     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-12-30     Completed Date:  2003-01-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  325-8     Citation Subset:  IM    
Department of Neurosurgery, Fukuoka University Chikushi Hospital, Chikushino City, Japan.
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MeSH Terms
Arteriovenous Fistula / etiology*
Cavernous Sinus*
Cerebral Angiography
Craniocerebral Trauma / complications*
Embolization, Therapeutic
Intracranial Aneurysm / etiology*,  surgery
Meningeal Arteries / injuries*
Skull Fractures / etiology
Tomography, X-Ray Computed
Wounds, Nonpenetrating / complications*

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