Aneurysm of the middle meningeal artery

Holland, Henry; Thomson, J. L. G.

doi:10.1016/s0009-9260(65)80075-7

Cited by 18 publications

(13 citation statements)

References 9 publications

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“…About 85% of traumatic pseudoaneurysms are found in the temporal region (4). A fracture line is found in 92% of these cases (6,7). The aneurysm may be located in the weakest part of vessel wall and not necessarily beneath the fracture line.…”

Section: Discussionmentioning

confidence: 98%

“…The aneurysm may be located in the weakest part of vessel wall and not necessarily beneath the fracture line. Traumatic pseudo aneurysms usually show an absent true neck, irregular wall, peripheral location and delayed filling and emptying ( 6). Freckman et al found middle meningeal artery aneurysms in 4% and AV fistula of middle meningeal artery in 1.8% after reviewing 892 middle meningeal arteries in 446 cerebral angiograms in head injury patients (5).…”

Section: Discussionmentioning

confidence: 99%

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Incidental traumatic pseudoaneurysm of the middle meningeal artery- case report and literature review.

Nayil¹,

Ramzan²,

Makhdoomi³

et al. 2010

Turkish Neurosurgery

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Traumatic pseudoaneurysm of the middle meningeal artery is rare and is associated with high mortality. Skull fracture is usually an associated feature of this entity. An elderly male was brought to our hospital in a stage of coma. The details of ictus were not known. The Glasgow coma scale score was 9/15. Examination revealed a pseudo-aneurysm arising from the posterior branch of the left middle meningeal artery which was excised. The case is presented for its rarity and its characteristic radiology. Traumatic pseudoaneurysm of middle meningeal artery is rare. It is important to recognize this treatable entity. KeywOrds: Skull fracture, Extradural hematoma, Pseudoaneurysm, Middle meningeal artery ÖZOrta meninjial arterin travmatik psödoanevrizması nadir görülmekle beraber yüksek mortalite ile seyreden bir olaydır. Kafatasında kırık görülmesi orta meninjial arterin travmatik psödoanevrizmasının bir özelliğidir. Yaşlı erkek hasta hastanemize koma halinde getirildi. Hastanın bilinç kaybı ile ilgili bir bilgi elde edilemedi. Hastanın Glasgow Koma ölçeği 9/15'di. Hastanın muayenesinde sol orta meninjial arterin arka dalından kesilmiş olduğu görüldü. Olgu nadir görülmesi ve karakteristik radyolojik özelliği nedeni ile sunulmuştur. Orta meninjial arterin psödoanevrizması nadir görülen ve tanı konulunca tedavi edilebilen bir patolojidir.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Incidental traumatic pseudoaneurysm of the middle meningeal artery- case report and literature review.

Nayil¹,

Ramzan²,

Makhdoomi³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…2,3,[5][6][7][8][10][11][12][13][14][15][16][17]19,20) Seven presented with intracranial hemorrhage: two cases of epidural hematoma, 5,14) two of SDH, 3,8) two of ICH, 7,15,17) and one of SAH. 20) Double aneurysms were found in two cases 16,20) and multiple aneurysms in one.…”

Section: Discussionmentioning

confidence: 99%

Intracerebral Hematoma Due to Ruptured Nontraumatic Middle Meningeal Artery Aneurysm. Case Report.

Kobata

Tanaka

Tada

et al. 2001

Neurol. Med. Chir.(Tokyo)

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A 77-year-old woman suddenly lost consciousness and presented with right hemiparesis. Computed tomography showed a large subcortical hematoma in her left frontal lobe associated with subarachnoid hemorrhage. The first impression was hemorrhage due to a ruptured aneurysm of the middle cerebral or the internal carotid artery on the left. Left internal carotid angiography showed no aneurysm or vascular anomaly, but back flow of contrast medium into the external carotid artery disclosed two saccular aneurysms arising from the anterior branch of the left middle meningeal artery (MMA). Emergent surgical intervention confirmed that the hematoma was due to ruptured MMA aneurysm. Nontraumatic MMA aneurysm should be recognized as a possible causative lesion of intracranial hemorrhage despite the extremely low incidence. External carotid angiography should be performed in patients with intracranial hemorrhage in whom no vascular cause can be detected in the internal carotid system.

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“…Of the 27 cases of nontraumatic MMA aneurysms that have been reported, approximately half of the patients underwent craniotomy and ligation, coagulation, or resection, 7,12,14,17,[26][27][28][29][30]35,38 while 6 were treated using endovascular techniques. 16,19,20,22,25 Coil embolization was performed in 3 cases.…”

Section: Postoperative Coursementioning

confidence: 99%

“…Twenty-seven cases of nontraumatic MMA aneurysms have been reported to date. 1,2,[5][6][7][12][13][14][15][16][17][18][19][20]22,[24][25][26][27][28][29][30]34,35,37,38 They may present with intracranial hemorrhage or may be discovered incidentally. Many MMA aneurysms have occurred in association with high-flow states, such as Paget's disease, 5,24 dural arteriovenous fistulas and arteriovenous malformations, 2,13,14,27,29 moyamoya disease, 7,16,28 and meningiomas.…”

mentioning

confidence: 99%

Onyx embolization of an intraosseous pseudoaneurysm of the middle meningeal artery in a patient with meningiomatosis, McCune-Albright syndrome, and gray platelet syndrome

Settecase

Nicholson

Amans

et al. 2016

PED

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A 13-year-old boy with meningiomatosis, McCune-Albright syndrome, and gray platelet syndrome presented with an enlarging “lump” on his right forehead. A head CT scan revealed a polyostotic fibrous dysplasia involving the entire skull. A 3.4-cm right frontal osseous cavity and an overlying right forehead subcutaneous soft-tissue mass were seen, measuring 5.2 cm in diameter and 1.6 cm thick. Ultrasound of the cavity and overlying mass showed swirling of blood and an arterialized waveform. MRI revealed an en plaque meningioma underlying the cavity. An intraosseous pseudoaneurysm fed by 3 distal anterior division branches of the right middle meningeal artery (MMA) with contrast extravasation was found on angiography. Two MMA feeders were embolized with Onyx, with anterograde filling of the intraosseous cavity with Onyx. A small pocket of residual intracavity contrast filling postembolization from a smaller third MMA feeder eventually thrombosed and the forehead lump regressed.

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Aneurysm of the middle meningeal artery

Cited by 18 publications

References 9 publications

Incidental traumatic pseudoaneurysm of the middle meningeal artery- case report and literature review.

Incidental traumatic pseudoaneurysm of the middle meningeal artery- case report and literature review.

Intracerebral Hematoma Due to Ruptured Nontraumatic Middle Meningeal Artery Aneurysm. Case Report.

Onyx embolization of an intraosseous pseudoaneurysm of the middle meningeal artery in a patient with meningiomatosis, McCune-Albright syndrome, and gray platelet syndrome

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