Delayed Spontaneous Resolution of a Traumatic Middle Meningeal Artery Pseudoaneurysm
| Autor: | Jaime L Atiles, Amanda P Marrero-González, Eduardo J. Labat |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Middle meningeal artery 030204 cardiovascular system & hematology 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Hematoma Aneurysm medicine.artery medicine Humans Craniocerebral Trauma cardiovascular diseases Craniofacial Skull Fractures medicine.diagnostic_test business.industry Angiography Digital Subtraction Intracranial Aneurysm Articles General Medicine Digital subtraction angiography medicine.disease Meningeal Arteries Hematoma Subdural medicine.anatomical_structure Foramen spinosum 030220 oncology & carcinogenesis Angiography Radiology business Aneurysm False |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 42-year-old Final Diagnosis: Middle meningeal artery pseudoaneurysm Symptoms: Migraine Medication:— Clinical Procedure: — Specialty: Radiology Objective: Unusual clinical course Background: Middle meningeal artery (MMA) aneurysms are a very rare entity, comprising less than 1% of all intracranial aneurysms. In particular, traumatic MMA pseudoaneurysms (MMAP) are reported in the literature to have a poor outcome in about 20% of cases. Moreover, in extremely rare cases, MMAPs can spontaneously thrombose. Case Report: We present the case of a 42-year-old Hispanic man with multiple craniofacial hemangiomas and history of chronic migraines that increased in frequency after blunt head trauma 1 month prior to initial evaluation. CTA and brain MRI showed a right-sided MMAP adjacent to the foramen spinosum with a pan-hemispheric subdural hematoma and no associated skull fractures. The MMAP was not visualized 2 days later on digital subtraction angiography (DSA) and was therefore presumed to be thrombosed. CTA at 3 months showed interval progression of the MMAP with subsequent spontaneous resolution on CTA at 10 months. Conclusions: Knowledge regarding MMAPs is limited since it is based on a small number of cases and literature reviews. Additional studies are needed to elucidate the true incidence and natural course of this entity and produce adequate treatment guidelines. |
| Databáze: | OpenAIRE |
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