Non-traumatic middle meningeal aneurysm and angioma in a child

A 9-year-old boy having bronchial asthma showed fluctuation of his mental state for 14 days. EEG showed multiple spikes or irregular spike and wave complex bursts, the focus being in the left occipital region, and he was diagnosed as prolonged partial complex status epilepticus. Skull radiograms revealed the presence of radiolucent areas in the left parietal region and cerebral angiography showed a pear-shaped aneurysm and angioma in the distal part of the middle meningeal artery. Nontraumatic aneurysm of the middle meningeal artery has been rarely reported; only the reports on 2 old women with Paget disease are available now. The authors' case is the first child case.