Korean J Neurotrauma.  2017 Oct;13(2):162-166. 10.13004/kjnt.2017.13.2.162.

Traumatic Intracerebral and Subarachnoid Hemorrhage Due to a Ruptured Pseudoaneurysm of Middle Meningeal Artery Accompanied by a Medial Sphenoid Wing Dural Arteriovenous Fistula

Affiliations
  • 1Department of Neurosurgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. nsyjlee@gmail.com

Abstract

Traumatic pseudoaneurysms of middle meningeal artery (MMA) and medial sphenoid wing dural arteriovenous fistula (dAVF) are rare. These lesions usually result from traumatic brain injury, and associated with skull fracture. In this paper, the authors report a case of a patient with a ruptured traumatic pseudoaneurysm of MMA and medial sphenoid wing dAVF presented with an intracerebral hemorrhage in the left temporal region and subarachnoid hemorrhage. These lesions were completely obliterated by endovascular treatment, and the patient was recovered without any neurologic deficit. However, 18-day after the procedure, delayed neurologic deficits were developed due to cerebral vasospasm.

Keyword

Aneurysm, false; Arteriovenous fistula; Subarachnoid hemorrhage, traumatic

MeSH Terms

Aneurysm, False*
Arteriovenous Fistula
Brain Injuries
Central Nervous System Vascular Malformations*
Cerebral Hemorrhage
Humans
Meningeal Arteries*
Neurologic Manifestations
Skull Fractures
Subarachnoid Hemorrhage*
Subarachnoid Hemorrhage, Traumatic
Temporal Lobe
Vasospasm, Intracranial
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