Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery: A Case Report.
10.3340/jkns.2007.42.5.416
- Author:
Dong Ho LIM
1
;
Tae Sun KIM
;
Sung Pil JOO
;
Soo Han KIM
Author Information
1. Department of Neurosurgery, Chonnam National University, Hospital & Medical School, Gwangju, Korea. taesun1963@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Traumatic pseudoaneurysm;
Middle meningeal artery (MMA);
Intracerebral hematoma
- MeSH:
Aged;
Aneurysm, False*;
Brain;
Cranial Fossa, Middle;
Craniocerebral Trauma;
Hematoma*;
Hemorrhage;
Humans;
Meningeal Arteries*
- From:Journal of Korean Neurosurgical Society
2007;42(5):416-418
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hematomas caused by ruptured traumatic pseudoaneurysms of the middle meningeal artery (MMA) usually present with extradural hematomas, whereas intradural intraparenchymal hematomas are extremely rare. We report a case of traumatic pseudoaneurysm of the MMA giving rise to an intracerebral hematoma after head trauma. A 70-year-old man suffered a massive intracerebral temporoparietal hemorrhage after a head injury. CT angiogram of the brain revealed a large hematoma in the right middle cranial fossa extending to the right sylvian fissure. Cerebral angiogram also revealed a pseudoaneurysm of the MMA, which was successfully treated surgically. Although traumatic MMA pseudoaneurysm producing intracerebral hematoma (ICH) is rare, it should be considered as a possible cause of intracerebral hematoma.
