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Published on: September 17, 2014
Traumatic Middle Meningeal Artery Pseudoaneurysm Managed With Preoperative Glue Embolization Followed by
Young Sub Lee1, Woo-Yeol Jeon1, Jeong Hwan Lee1
1Department of Neurosurgery, Daegu Goodmorning Hospital, Daegu, Korea.
Abstract:
Traumatic pseudoaneurysm of the middle meningeal artery (MMA) is a rare but potentially life-threatening condition, typically resulting from a laceration of the arterial wall due to adjacent skull fractures. We report an unusual case of a traumatic MMA pseudoaneurysm presenting with a large intracerebral hemorrhage (ICH) and significant subfalcine herniation that was successfully treated with preoperative glue embolization followed by decompressive craniectomy. This case emphasizes the importance of early vascular evaluation in traumatic ICH and highlights the value of endovascular embolization for achieving hemostatic control prior to surgery.
Insights
Traumatic pseudoaneurysms of the middle meningeal artery (MMA) can cause severe brain bleeds. Endovascular embolization before surgery offers effective hemostatic control for these rare but critical vascular injuries.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Radiology
Background:
- Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare but life-threatening.
- They often result from skull fractures causing arterial wall lacerations.
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