Traumatic Intracerebral and Subarachnoid Hemorrhage Due to a Ruptured Pseudoaneurysm of Middle Meningeal Artery Accompanied by a Medial Sphenoid Wing Dural Arteriovenous Fistula.
10.13004/kjnt.2017.13.2.162
- Author:
Jae Won PARK
1
;
Jong Young LEE
Author Information
1. Department of Neurosurgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. nsyjlee@gmail.com
- Publication Type:Case Report
- Keywords:
Aneurysm, false;
Arteriovenous fistula;
Subarachnoid hemorrhage, traumatic
- MeSH:
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
- From:Korean Journal of Neurotrauma
2017;13(2):162-166
- CountryRepublic of Korea
- Language:English
-
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.
