Traumatic middle meningeal artery pseudoaneurysms

Jussen, Daniel; Wiener, Edzard; Vajkoczy, Peter; Horn, Peter A.

doi:10.1007/s00234-011-1003-7

Cited by 26 publications

(33 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 1 ] About 70–90% of traumatic MMA pseudoaneurysms are also associated with fracture across the MMA. [ 7 9 ] Tearing of the arterial wall by skull fracture or by separation of the dura mater and bone has been suggested. [ 14 ] When no risk factors were noted, it was suggested that pathophysiology is similar to that of the aneurysms of the Willis polygon.…”

Section: Discussionmentioning

confidence: 99%

Middle meningeal artery aneurysm: Case report

Kpelao¹,

Békéti²,

Ahanogbe³

et al. 2017

Surg Neurol Int

View full text Add to dashboard Cite

Background:Aneurysms of meningeal middle artery (MMA) are extremely rare. These aneurysms are of two types: true aneurysm and pseudoaneurysm. The true type is usually seen with pathologic conditions. Pseudoaneurysms, on the other hand, are associated with a skull fracture. Epilepsy caused by MMA aneurysm has never been described to our knowledge. We report a case of true aneurysm isolated from MMA revealed by epilepsy.Case Description:A 57-year-old patient with a history of high blood pressure developed epilepsy which was treated by valproic acid. Initial scalp electroencephalography (EEG) showed seizure activity arising from the right temporal area. Epilepsy had become drug-resistant. Cerebral angiography revealed an aneurysm of the right middle meningeal artery without any other intraparenchymal anomaly. The interrogation did not reveal any history of family aneurysm. The patient underwent surgery with coagulation of the aneurysm and the MMA. The aneurysm was intradural in contact with the temporal cortex, and the surrounding brain tissues were preserved. The operative follow-up was favorable with amelioration of convulsions with a single antiepileptic. We planned to stop antiepileptic treatment according to electroencephalograms.Conclusions:Aneurysms of the MMA are rare. Their mode of revelation by seizures is unusual. The factors of rupture are not known. When isolated, their physiopathology is identical to that of the aneurysms of the Willis polygon. Their management uses the same techniques as for other cerebral aneurysms.

show abstract

Section: Discussionmentioning

confidence: 99%

Middle meningeal artery aneurysm: Case report

Kpelao¹,

Békéti²,

Ahanogbe³

et al. 2017

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

“…Case reports have described spontaneous resolution/thrombosis of MMA pseudoaneurysms[ 16 25 27 ] while others have ruptured several years after the suspected initial injury. [ 10 14 26 ]…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic MMA pseudoaneurysms can be treated through surgical resection or by endovascular means. The most common treatment modality used is endovascular embolization with tissue adhesive or hydrogel agents,[ 3 9 11 14 18 ] followed by endovascular coiling[ 10 11 12 ] and surgical clipping or excision. [ 17 26 29 ] A large portion of patients undergoing embolization or surgery require a decompressive craniectomy for trauma-related hemorrhage, as seen in this case.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ruptured pseudoaneurysm of the middle meningeal artery presenting with a temporal lobe hematoma and a contralateral subdural hematoma

2016

View full text Add to dashboard Cite

Background:Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare, associated with skull fractures, and have a high mortality rate. When they rupture, MMA pseudoaneurysms frequently cause epidural hematomas and occasionally ipsilateral subdural or subarachnoid hemorrhage. Isolated intraparenchymal hemorrhage has also been reported.Case Description:A 54-year-old female who suffered a loss of consciousness resulting in a fall presented with a Glasgow Coma Scale of 7t. Imaging demonstrated a right subdural hematoma (SDH) with midline shift, left skull fracture overlying the left MMA, and left temporal lobe intraparenchymal hematoma extending to the surface. The patient underwent a right craniectomy with evacuation of the SDH, and the preoperative computed tomographic angiography revealed abnormal dilation of the left MMA consistent with a pseudoaneurysm. The pseudoaneurysm was treated with endovascular treatment, and the intraparenchymal hematoma was treated conservatively. Her recovery was uneventful, and she received a cranioplasty 3 months after the decompression.Conclusions:The presence of a fracture over the MMA and intraparenchymal hematoma should prompt suspicion for a traumatic pseudoaneurysm. Pseudoaneurysms of the MMA can cause catastrophic bleeding, and prompt treatment is necessary. Endovascular embolization is an effective method that decreases the hemorrhage risk of MMA pseudoaneurysms.

show abstract

“…The irrupture can cause various intracranial hemorrhages including epidural hematomas, 1) subdural hematomas, 2) and intracerebral hemorrhages. 3,4) For the most part, their etiology is associated with head trauma with skull fracture, while in non-traumatic cases, previous reports have demonstrated etiologies closely associated with primary diseases such as moyamoya disease, 5) neurofibromatosis, 6) meningioma, 7) cavernous hemangioma, 8) and ipsilateral cerebral vessel occlusion. 9) Postoperative middle meningeal artery aneurysms have not been reported with a clear angiographic appearance.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of a Middle Meningeal Artery Aneurysm after Cranial Surgery

Suzuki

Kominami

Koketsu

et al. 2014

NMC Case Report Journal

View full text Add to dashboard Cite

This report describes a case of middle meningeal artery aneurysm caused after cranial surgery. A 55-year-old woman who experienced a ruptured internal carotid artery anterior wall aneurysm was treated by internal carotid artery trapping and high-flow bypass using a radial artery graft. Eight days after surgery, we performed cerebral angiography to confirm patency of the radial artery graft and discovered a middle meningeal artery aneurysm, which was not identified in preoperative angiography. The aneurysm was treated by endovascular embolization using n-butyl cyanoacrylate and complete obliteration was confirmed by angiography. This middle meningeal artery aneurysm was associated with prior surgical procedures, particularly craniotomy or dural tenting sutures. Our study suggests that middle meningeal artery aneurysms can be a rare complication associated with brain surgery. Endovascular embolization using a liquid material may provide an effective and safe treatment for such cases.

show abstract

Traumatic middle meningeal artery pseudoaneurysms

Cited by 26 publications

References 14 publications

Middle meningeal artery aneurysm: Case report

Middle meningeal artery aneurysm: Case report

Ruptured pseudoaneurysm of the middle meningeal artery presenting with a temporal lobe hematoma and a contralateral subdural hematoma

Endovascular Repair of a Middle Meningeal Artery Aneurysm after Cranial Surgery

Contact Info

Product

Resources

About