Rupture of a Middle Meningeal Artery Pseudoaneurysm in Moyamoya Syndrome Related with Tuberculous Meningitis.
10.7461/jcen.2018.20.3.187
- Author:
Hah Yong MUN
1
;
Taek Kyun NAM
;
Hyun Ho CHOI
;
Yong Sook PARK
Author Information
1. Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. nsnam@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Middle meningeal artery;
Pseudoaneurysm;
Moyamoya syndrome;
Tuberculous meningitis
- MeSH:
Adult;
Aneurysm;
Aneurysm, False*;
Carotid Artery, Internal;
Cerebral Hemorrhage;
Diagnosis;
Female;
Hemorrhage;
Humans;
Intellectual Disability;
Intracranial Hemorrhages;
Meningeal Arteries*;
Moyamoya Disease*;
Pathology;
Rupture*;
Tuberculosis, Meningeal*
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2018;20(3):187-190
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a rare case of a patient with Moyamoya syndrome who presented with intracerebral hemorrhage resulting from rupture of a middle meningeal artery pseudoaneurysm. This 38-year-old woman was unconscious and hemiplegic when she was admitted to our hospital. The patient had mental retardation as a result of tuberculous meningitis infection at the age of one year. On radiologic examination, she had intracerebral hemorrhage in the right temporo-parietal lobe and an aneurysm in the middle meningeal artery with right internal carotid artery occlusion. The patient underwent surgical treatment for the hemorrhage and aneurysm. The radiologic data, intraoperative findings, and pathology were consistent with a diagnosis of pseudoaneurysm. In the current report, we describe a rare case of a patient with a history of tuberculous meningitis who developed Moyamoya syndrome and pseudoaneurysm, which resulted in a ruptured middle meningeal artery pseudoaneurysm and brain hemorrhage.
