Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery : A Case Report

  • Lim, Dong-Ho (Department of Neurosurgery Chonnam National University Hospital & Medical School) ;
  • Kim, Tae-Sun (Department of Neurosurgery Chonnam National University Hospital & Medical School) ;
  • Joo, Sung-Pil (Department of Neurosurgery Chonnam National University Hospital & Medical School) ;
  • Kim, Soo-Han (Department of Neurosurgery Chonnam National University Hospital & Medical School)
  • 발행 : 2007.11.30

초록

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.

키워드

참고문헌

  1. Benoit B G, Wortzman G : Traumatic cerebral aneurysms: clinical features and natural history. J Neurol Neurosurg Psychiatry 36 : 127-138, 1973 https://doi.org/10.1136/jnnp.36.1.127
  2. Bruneau M, Gustin T, Zekhnini K, Gilliard C : Traumatic false aneurysm of the middle meningeal artery causing an intracerebral hemorrhage : case report and literature review. Surg Neural 57 : 174-178, 2002 https://doi.org/10.1016/S0090-3019(01)00668-1
  3. Garza-Mercado R, Rangel RA : Extradural hematoma associated with traumatic middle meningeal artery pseudoaneurysm. Report of two cases. Neurosurgery 5: 200-203, 1979
  4. Higazi I. El-Banhawy A, EI-Nady F : Importance of angiography in identifying false aneurysm of the middle meningeal artery as a cause of extradural hematoma. Case report. J Neurosurg 30 : 172-176, 1969 https://doi.org/10.3171/jns.1969.30.2.0172
  5. Kim JH, Yim MB. Lee CY, Kim IM : Surgical management of pseudoaneurysm. J Korean Neurosurg Soc 30 : 307-318, 2001
  6. Kimota T, Sako K, Satoh M, Nakai H, Yonemasu Y, Takeuchi E, et al : Post-traumatic pseudoancurysm of the middle meningeal artery. A case report. No Shinkei Geka 23: 1021-1025, 1995
  7. Kuhn RA. Kugler H : False aneurysms of the middle meningeal artery. J Neurosurg 21 : 92-96. 1964 https://doi.org/10.3171/jns.1964.21.2.0092
  8. Meder JF, Gaston A, Merienne L, Godon-Hardy S, Fredy D : Traumatic aneurysms of the internal and external carotid arteries. One case and review of the literature. J Neuroradiol 19 : 248-255, 1992
  9. Morard M, de Triboler N : Traumatic aneurysm of the posterior inferior cerebellar artery: case report. Neurosurgery 29: 438-441, 1991 https://doi.org/10.1227/00006123-199109000-00018
  10. Okumura H, Tenjin H, Ueda S : A case of traumatic pseudoaneurysm of the middle meningeal artery treated with endovascular surgery. No Shinkei Geka 26: 929-933, 1998
  11. Parkinson D, West M : Traumatic intracranial aneurysms. J Neurosurg 52 : 11-20. 1980 https://doi.org/10.3171/jns.1980.52.1.0011
  12. Rambaugh CL, Bergeron T, Kurze T: Intracranial vascular damage associated with skull fracture: radiological aspects. Radiology 104 : 81-87, 1972 https://doi.org/10.1148/104.1.81
  13. Tsutomu K, Teruaki K, Yoshirou K, Takao O, Hidesato O, Sadanobu O : Traumatic lesion of the bilateral middle meningeal arteries: case report. Neurol Med Chir (Tokyo) 42: 221-223, 2002 https://doi.org/10.2176/nmc.42.221