Contrecoup Injury-Induced Middle Meningeal Arteriovenous Fistula Detected by Time-of-Flight Magnetic Resonance Angiography and Magnetic Resonance Arterial Spin Labeling: Case Report and Review of the Literature

Tokairin, Kikutaro; Osanai, Toshiya; Kazumata, Ken; Sawaya, Ryosuke; Houkin, Kiyohiro

doi:10.1016/j.wneu.2019.03.189

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…3,5) The typical symptoms of MMAVF are tinnitus and headache, but this can cause more severe conditions, such as subarachnoid haemorrhage, subdural/epidural hematoma, and venous infarction because of venous reflux. 1,6,7) In this case, his symptoms started with a left temporal headache and pain in the left mandibular joints. We suspected that the pain of the mandibular joints was caused by the highly dilated plexus-like-veins in the joint due to high shunt flow (Fig.…”

Section: Mmavfmentioning

confidence: 81%

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Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report

Miyamoto

Hosoo

Ishikawa

et al. 2023

NMC Case Report Journal

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Middle meningeal arteriovenous fistula (MMAVF) is a shunt between the middle meningeal artery and the vein surrounding the artery. We report an extremely rare case of spontaneous MMAVF; then, we evaluated the effectiveness of trans-arterial embolization for spontaneous MMAVF and the possible cause of spontaneous MMAVF. A 42-year-old man with tinnitus, a left temporal headache, and pain surrounding the left mandibular joint was diagnosed with MMAVF on digital subtraction angiography. Trans-arterial embolization with detachable coils was conducted, which resulted in a fistula closure and symptoms' diminishment. The cause of MMAVF was thought to be the rupture of the middle meningeal artery aneurysm. A middle meningeal artery aneurysm can be a cause of spontaneous MMAVF, and trans-arterial embolization might be an optimal treatment.

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Section: Mmavfmentioning

confidence: 81%

“…As for treatment, TAE or open surgery was mostly selected as a first line treatment for traumatic/idiopathic MMAVF, 2 , 6 ) which often resulted in the good closure of shunts. Contrary, some cases reported the spontaneous closure of MMAVF.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report

Miyamoto

Hosoo

Ishikawa

et al. 2023

NMC Case Report Journal

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“…However, in recent years, diagnostic imaging technology has made remarkable progress and can detect lesions that were previously difficult to visualise by MRI. Tokairin et al [ 14 ] reported that MRA-TOF and magnetic resonance angiography spin labelling were useful to diagnose MMAVF caused by contrecoup injury. In the present cases, dilated MMA and MMV were detected by the minimally invasive unreconstructed MRA-TOF.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Idiopathic Middle Meningeal Arteriovenous Fistula Initially Diagnosed by Magnetic Resonance Angiography

Kondo¹,

Kiura²,

Tsuyuguchi³

et al. 2023

Cureus

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Reports of middle meningeal arteriovenous fistula (MMAVF) are relatively rare, and reports of idiopathic MMAVF are extremely rare. In the past, diagnoses of MMAVF have been confirmed by cerebral angiography, but magnetic resonance angiography (MRA) resolution is improving. Here, we report two cases of idiopathic MMAVF that were diagnosed by unreconstructed time-of-flight MRA (MRA-TOF) and successfully treated by trans-arterial embolisation with endovascular treatment. Both patients suffered from pulsatile tinnitus, and MRI was performed. Two dilated vessels were revealed in the middle temporal fossa by unreconstructed MRA-TOF imaging. These dilated vessels were thought to be the middle meningeal artery and middle meningeal vein; therefore, we diagnosed both patients with MMAVF. Following angiography, both patients had coil embolisation with endovascular treatment, and their conditions improved. In cases of idiopathic MMAVF without a history of trauma, brain surgery, or endovascular surgery, unreconstructed MRA-TOF may be useful as a primary diagnostic tool, and endovascular treatment before bleeding may produce better outcomes.

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“…We reviewed PubMed to identify previous reports of traumatic MMAVFs of non-fractured sites and found 12 cases, including the present (Table 1). [5][6][7][8][9][10][11][12][13][14][15] Two patients presented "aggressive type" symptoms such as intraparenchymal hemorrhage and venous infarction. 11) The duration of the asymptomatic phase varied widely from 1 day to 3 months.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Middle Meningeal Arteriovenous Fistula of Non-fractured Site Detected by Four-dimensional Computed Tomography Angiography: A Case Report

Iki

Morofuji

Kanamoto

et al. 2020

NMC Case Report Journal

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Middle meningeal arteriovenous fistula (MMAVF) of a non-fractured site is extremely rare, and the clinical characteristics are still unclear. We report a case of delayed onset of venous infarction due to an MMAVF following a fall accident. A 69-year-old man sustained multiple trauma due to a fall accident. Head computed tomography (CT) showed traumatic subarachnoid hemorrhage, a left subdural hematoma, and skull fracture in his right temporal bone, all of which were managed conservatively. Five days after his admission, he suddenly exhibited total aphasia and right hemiparesis. Emergent CT revealed sporadic low-density areas in his left cerebral hemisphere, and four-dimensional CT angiography (4D-CTA) showed dilatation of the left middle meningeal artery and early venous drainage in the cavernous sinus and anterior temporal diploic vein (ATDV). A series of hemodynamics of 4D-CTA revealed early venous filling of ATDV interrelated with retrograde upward flow to high convexity in the venous phase. The MMAVF was successfully obliterated by transarterial coil embolization. We herein describe this case of MMAVF in which 4D-CTA was useful for the diagnosis.

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Contrecoup Injury-Induced Middle Meningeal Arteriovenous Fistula Detected by Time-of-Flight Magnetic Resonance Angiography and Magnetic Resonance Arterial Spin Labeling: Case Report and Review of the Literature

Cited by 7 publications

References 21 publications

Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report

Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report

Two Cases of Idiopathic Middle Meningeal Arteriovenous Fistula Initially Diagnosed by Magnetic Resonance Angiography

Traumatic Middle Meningeal Arteriovenous Fistula of Non-fractured Site Detected by Four-dimensional Computed Tomography Angiography: A Case Report

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