Posttraumatic Middle Meningeal Artery Pseudoaneurysm: Case Report and Review of the Literature

Gerosa, Andrea; Fanti, Andrea; Sette, Bruno Del; Bianco, Andrea; Cossandi, Christian; Crobeddu, Emanuela; Forgnone, Sara; Fornaro, Riccardo; Panzarasa, Gabriele

doi:10.1016/j.wneu.2019.05.030

Cited by 22 publications

(14 citation statements)

References 17 publications

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“…Patients with no evidence of vascular injury during the operation may suffer postoperative or delayed hemorrhage, including intracerebral, intraventricular, and subarachnoid hemorrhage. Pseudoaneurysms of the middle meningeal artery typically are associated with epidural or subdural hematoma (40,41).…”

Section: Clinical Presentationmentioning

confidence: 99%

Intracranial Pseudoaneurysms: Evaluation and Management

Zheng

Lu²,

Shen

et al. 2020

Front. Neurol.

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Intracranial pseudoaneurysms account for about 1% of intracranial aneurysms with a high mortality. The natural history of intracranial pseudoaneurysm is not well-understood, and its management remains controversial. This review provides an overview of the etiology, pathophysiology, clinical presentation, imaging, and management of intracranial pseudoaneurysms. Especially, this article emphasizes the factors that should be considered for the most appropriate management strategy based on the risks and benefits of each treatment option.

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Section: Clinical Presentationmentioning

confidence: 99%

Intracranial Pseudoaneurysms: Evaluation and Management

Zheng

Lu²,

Shen

et al. 2020

Front. Neurol.

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“…Some reported spontaneous resolution, others reported the growth of the aneurysm, leading to subsequent rupture. 8 Marvin 9 reported that a pseudoaneurysm caused spontaneous subdural hematoma in 54 year old female patient with intraparenchymal bleeding in the right temporal. The occurence of pseudoaneurysm of middle meningeal artery is uncommon, the standard treatment are not well defined.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Acute Nontraumatic Spontaneous Subdural Haematoma Due to Pseudoaneurysm of Middle Meningeal Artery

Makkiyah

Nurrahmah

2021

MNJ

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Acute subdural bleeding is blood collection in subdural space, usually caused by laceration of the bridging vein that runs from cortex to meningeal layer. On the other hand, the acute epidural hematoma is a collection of blood above the dura mater, usually caused by tearing of the middle meningeal artery. Subdural hematoma acute more likely happen in elderly than young adult. This case report discusses acute spontaneous subdural hematoma that was caused by a pseudoaneurysm of the middle meningeal artery. Seventeen years old boy came with symptoms of high intracranial pressure because of massive subdural bleeding. He was undergone craniotomy. After the clot removal operation, Digital Subtraction Angiography revealed vascular blush and pseudoaneurysm of the middle meningeal artery. Onyx embolization was delivered to proximal to a distal branch of the middle meningeal artery. The patient recovered in good condition, and no rebleeding in two years. Conclusion. Acute spontaneous subdural bleeding even though it is quite rare, but the chance of fatal rebleeding is high. As a result, one still has to look for the source of bleeding and manage comprehensively with embolization.

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“…Several publications have proposed clinical checklists to improve clinical outcome in the event of spinal cord injury. The use of a hemodynamic safety checklist to maintain MAP goals of 85-90 mm Hg within the first 7 days after SCI demonstrated improved hemodynamic management of spinal cord injured patients [ 14 ]. Guidelines provided by the Consortium for Spinal Cord Medicine further recommends immediate management of systolic BP (SBP) <90, fluid resuscitation to balance base deficit and elevated lactate levels, and the use of vasopressors if fluid response is inadequate to maintain SBP >90 [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Intermittent and Transient Hypotension-related Anterior Cord Syndrome following Elective Cervical Spine Surgery: A Case Report

Greig¹,

Zoller²,

Sheppard³

et al. 2021

JOCR

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Introduction: Anterior cord syndrome (ACS) is a type of incomplete spinal cord injury caused by either direct compression of the anterior spinal cord, or by ischemia of the anterior spinal artery. This phenomenon has neither been described transiently nor intraoperatively. Case Report: We describe the case of a 61-year-old male who developed intermittent and transient anterior spinal cord syndrome secondary to hypotension related hypoperfusion of the anterior spinal artery after elective cervical spine surgery. Through close blood pressure monitoring and intensive care unit support, the patient regained full neurological recovery. Conclusion: Anterior spinal cord syndrome is a rare condition affecting the anterior 2/3 of the spinal cord, resulting in incomplete paralysis. Blood flow can be disrupted through the anterior spinal artery, either through thrombosis or hypotension. We describe our rare case so that surgeons may recognize this potentially devastating condition. Keywords: Spine, hypoperfusion, hypotension, cord injury, anterior cord syndrome.

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Posttraumatic Middle Meningeal Artery Pseudoaneurysm: Case Report and Review of the Literature

Cited by 22 publications

References 17 publications

Intracranial Pseudoaneurysms: Evaluation and Management

Intracranial Pseudoaneurysms: Evaluation and Management

A Case Report of Acute Nontraumatic Spontaneous Subdural Haematoma Due to Pseudoaneurysm of Middle Meningeal Artery

Intermittent and Transient Hypotension-related Anterior Cord Syndrome following Elective Cervical Spine Surgery: A Case Report

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