Middle Meningeal Arteriovenous Fistula and its Spontaneous Closure

Chandrashekar, HS; Nagarajan, Krishnan; Srikanth, S. G.; Jayakumar, P. N.; Vasudev, M.K.; Pandey, Paritosh

doi:10.1177/159101990701300208

Cited by 14 publications

(19 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most cases, interventions should be considered for AVFs of the MMA. Although some cases of spontaneous closure have been reported, this occurs primarily in cases that suffered minor head injury, resulting in AVFs of the MMA that are low-flow lesions or that are secondary to thrombosis at the site of the fistula 42 - 44 . Treatments for AVFs of the MMA include surgical resection and endovascular embolization, and good outcomes are often obtained.…”

Section: Avfs Of Mmamentioning

confidence: 99%

Clinical importance of the middle meningeal artery: A review of the literature

Yu¹,

Guo²,

Xu³

et al. 2016

Int. J. Med. Sci.

View full text Add to dashboard Cite

The middle meningeal artery (MMA) is a very important artery in neurosurgery. Many diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (AVF), moyamoya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine and meningioma, can involve the MMA. In these diseases, the lesions occur in either the MMA itself and treatment is necessary, or the MMA is used as the pathway to treat the lesions; therefore, the MMA is very important to the development and treatment of a variety of neurosurgical diseases. However, no systematic review describing the importance of MMA has been published. In this study, we used the PUBMED database to perform a review of the literature on the MMA to increase our understanding of its role in neurosurgery. After performing this review, we found that the MMA was commonly used to access DAVFs and meningiomas. Pseudoaneurysms and true aneurysms in the MMA can be effectively treated via endovascular or surgical removal. In MMD, the MMA plays a very important role in the development of collateral circulation and indirect revascularization. For recurrent CDSHs, after burr hole irrigation and drainage have failed, MMA embolization may be attempted. The MMA can also contribute to the occurrence and treatment of migraines. Because the ophthalmic artery can ectopically originate from the MMA, caution must be taken to avoid causing damage to the MMA during operations.

show abstract

Section: Avfs Of Mmamentioning

confidence: 99%

Clinical importance of the middle meningeal artery: A review of the literature

Yu¹,

Guo²,

Xu³

et al. 2016

Int. J. Med. Sci.

View full text Add to dashboard Cite

show abstract

“…It has also been reported to be involved in the recurrence of chronic subdural hematoma. 10) However, cases of spontaneous regression have also been reported, 11) and the risk of MMAVF has not been established. In our patient, MMAVF occurred during general anesthesia, and whether it was symptomatic or not was unclear.…”

Section: Discussionmentioning

confidence: 99%

A Case of Iatrogenic Middle Meningeal Arteriovenous Fistula That Occurred during Embolization of a Feeding Artery of Dural Arteriovenous Fistula

Kitano

Matsubara

Ogawa

et al. 2017

NOUSHINKEI KEKKANNAI TIRYOU

View full text Add to dashboard Cite

Objective: A case of iatrogenic dural arteriovenous fistula that occurred during embolization of a feeding artery for transverse sinus (TS) dural arteriovenous fistula is reported.Case Presentation: A 66-year-old woman suddenly noted pain of the left temporal region and nausea and was emergently transported to our hospital. CT of the head showed left subcortical hemorrhage, and DSA demonstrated a dural arteriovenous fistula at the left TS. Although embolization of the feeding artery was attempted via the middle meningeal artery (MMA), a middle meningeal arteriovenous fistula (MMAVF) developed as the MMA was damaged by intraoperative balloon inflation. The MMA was immediately embolized together with the fistulous opening using n-butyl-2-cyanoacrylate (NBCA) and coils, and no sequelae were observed postoperatively. Conclusion:We experienced dural arteriovenous fistula caused by injury of the feeding artery during endovascular treatment. It must be remembered that iatrogenic arteriovenous fistula is a complication of endovascular treatment that is rare but requires attention.

show abstract

“…On the basis of these findings, we believe that treatment of MMAVFs should be considered. [ 1 4 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…Although MMAVFs are typically associated with trauma, spontaneous cases have also been reported. [ 1 6 ] Our series indicates that regardless of the etiology of the fistulas, these lesions pose a risk of intracranial hemorrhage and treatment should be considered. The middle meningeal artery is typically accessible through an endovascular approach, making these lesions highly amenable to endovascular cure.…”

Section: Introductionmentioning

confidence: 93%

“…Middle meningeal arteriovenous fistulas (MMAVFs) occur between the middle meningeal artery and neighboring veins or dural venous sinuses and are rare lesions that have largely been the subject of single case reports. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 ] As many patients with MMAVFs remain asymptomatic, the true incidence of this type of lesion remains unclear, making the natural history of these lesions uncertain. Although MMAVFs are typically associated with trauma, spontaneous cases have also been reported.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Middle meningeal arteriovenous fistulas: A rare and potentially high-risk dural arteriovenous fistula

et al. 2016

View full text Add to dashboard Cite

Background:Middle meningeal arteriovenous fistulas (MMAVFs) are rare lesions with a poorly established natural history. We report our experience with patients with MMAVFs who presented with intracranial hemorrhage.Methods:We reviewed our prospectively maintained endovascular database for patients with MMAVFs, who were treated by embolization during a 15-year period. Hospital and outpatient medical records and imaging studies were reviewed.Results:Nine patients with MMAVFs, who presented with intracranial hemorrhage, underwent embolization (mean age 60.3 years, range 21–76; four male and five female). Four patients presented after trauma and five after spontaneous hemorrhage. All nine patients were angiographically cured after embolization of the fistula with liquid embolic agents (n = 8) or coils (n = 1). There were no procedure-related complications.Conclusion:MMAVFs represent a rarely reported class of vascular lesions. They are typically associated with trauma, but also develop spontaneously, and may be associated with intracranial hemorrhage, which warrants classification of these lesions as high risk. Endovascular treatment is safe and effective and should be considered for these patients, particularly for those who have lesions with intracranial venous drainage.

show abstract

Middle Meningeal Arteriovenous Fistula and its Spontaneous Closure

Cited by 14 publications

References 12 publications

Clinical importance of the middle meningeal artery: A review of the literature

Clinical importance of the middle meningeal artery: A review of the literature

A Case of Iatrogenic Middle Meningeal Arteriovenous Fistula That Occurred during Embolization of a Feeding Artery of Dural Arteriovenous Fistula

Middle meningeal arteriovenous fistulas: A rare and potentially high-risk dural arteriovenous fistula

Contact Info

Product

Resources

About