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J Korean Neurosurg Soc. 2014 Nov;56(5):423-7. doi: 10.3340/jkns.2014.56.5.423. Epub 2014 Nov 30.

Angiographically progressive change of traumatic pseudoaneurysm arising from the middle meningeal artery.

Journal of Korean Neurosurgical Society

Jae-Yoon Lee, Cheol-Young Lee, Hyun-Woo Kim

Affiliations

  1. Department of Neurosurgery, Konyang University Hospital, Daejeon, Korea.
  2. Department of Neurosurgery, Konyang University Hospital, Daejeon, Korea. ; Department of Neurosurgery, Graduate School of Medicine, Kyung Hee University, Seoul, Korea.

PMID: 25535521 PMCID: PMC4273002 DOI: 10.3340/jkns.2014.56.5.423

Abstract

Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare phenomenon, which are usually associated with head trauma such as an underlying skull fracture. They were usually known to cause acute or delayed epidural hematomas but can be associated with subdural, subarachnoid, or even intracerebral hemorrhage. Sometimes, a high mortality rate was reported in these circumferences. But the natural course of these pseudoaneurysms is not well recognized. The indication and guideline of treatment for pseudoaneurysm are also unclear. This report describes a rare case of angiographically progressive change of traumatic pseudoaneurysm of the middle meningeal artery for one week, which was treated with endovascular embolization.

Keywords: Middle meningeal artery; Pseudoaneurysm

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