Traumatic Middle Meningeal Arteriovenous Fistula Managed using Coil Embolization: A Case Report

Area of Science:

• Neurology
• Vascular Surgery
• Interventional Radiology

Background:

• Middle meningeal arteriovenous fistulas (MMAVFs) are rare dural arteriovenous shunts.
• They connect the middle meningeal artery (MMA) to dural sinuses or cortical veins.
• MMAVFs can cause significant symptoms and risk of cerebral hemorrhage.

Observation:

• A 27-year-old male presented with pulsatile tinnitus due to a traumatic MMAVF.
• The condition involved abnormal connections between the middle meningeal artery and vein.
• Symptoms included pulsatile tinnitus, headache, and risk of bleeding.

Findings:

• Endovascular transarterial embolization using a coil was performed.
• The MMAVF was successfully eliminated.
• No residual symptoms or complications were observed post-procedure.

Implications:

• Endovascular embolization is a viable and effective treatment for MMAVFs.
• This minimally invasive approach offers symptom relief and prevents hemorrhage.
• Further research can explore long-term outcomes of this technique.