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Traumatic Middle Meningeal Artery Pseudoaneurysms Presenting with Intractable Epistaxis: A Rare Case Report and Review of Literature

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ABSTRACT
Middle meningeal artery (MMA) pseudoaneurysms are very rare and are most often traumatic. They may present as an epidural or intraparenchymal hematoma. This study reports a rare case in which a patient suffered from intractable epistaxis because of a pseudoaneurysm in middle meningeal artery and skull base fracture after craniocerebra trauma. Pseudoaneurysm and the feeding artery were embolized by using Onyx-18 liquid embolic system. Complete cessation of bleeding was achieved in this case immediately after the endovascular therapies. In this study, clinical manifestation, diagnostic imaging and endovascular treatment are described. Formation mechanisms and the treatment of traumatic pseudoaneurysm of middle meningeal artery are discussed.
 
Cite this paper
Gu, J. , Lu, J. , Wang, X. , Liu, Z. , Gao, G. and Zhang, S. (2015) Traumatic Middle Meningeal Artery Pseudoaneurysms Presenting with Intractable Epistaxis: A Rare Case Report and Review of Literature. Case Reports in Clinical Medicine, 4, 28-31. doi: 10.4236/crcm.2015.41007.
 
References
[1]Mehta, S., Alawi, A. and Edgell, R. (2014) E-073 Endovascular Treatment of a traumatic Middle Meningeal Artery Pseudoaneurysm with Onyx LES: A Case Report and Review of Literature. Journal of Neurointerventional Surgery, 6, A73. http://dx.doi.org/10.1136/neurintsurg-2014-011343.140
 
[2]Zhang, C.W., Xie, X.D., You, C., et al. (2010) Endovascular Treatment of Traumatic Pseudoaneurysm Presenting as Intractable Epistaxis. Korean Journal of Radiology, 11, 603-611.
http://dx.doi.org/10.3348/kjr.2010.11.6.603
 
[3]Li, T., Zhang, Y., Gu, Z., et al. (2013) Traumatic Pseudoaneurysm of the Basilar Artery Presenting with Fatal Epistaxis: A Rare Case Report. Brain Injury, 27, 1316-1319.
http://dx.doi.org/10.3109/02699052.2013.812242
 
[4]Lim, D.H., Kim, T.S., Joo, S.P., et al. (2007) Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Menin Geal Artery: A Case Report. Archive of Journal of Korean Neurosurgical Society, 42, 416-418.
http://dx.doi.org/10.3340/jkns.2007.42.5.416
 
[5]Kawaguchi, T., Kawano, T., Kaneko, Y., et al. (2002) Traumatic Lesions of the Bilateral Middle Meningeal Arteries—Case Report. Neurologia Medico-Chirurgica, 42, 221-223.
http://dx.doi.org/10.2176/nmc.42.221
 
[6]Bruneau, M., Gustin, T., Zekhnini, K., et al. (2002) Traumatic False Aneurysm of the Middle Meningeal Artery Causing an Intracerebral Hemorrhage: Case Report and Literature Review. Surgical Neurology, 57, 174-178.
http://dx.doi.org/10.1016/S0090-3019(01)00668-1
 
[7]Wu, X., Jin, Y. and Zhang, X. (2014) Intraparenchymal Hematoma Caused by Rupture of the Traumatic Pseudoaneurysm of Middle Meningeal Artery. Journal of Craniofacial Surgery, 25, e111-e113.
http://dx.doi.org/10.1097/SCS.0000000000000450
 
[8]de Andrade, A.F., Figueiredo, E.G., Caldas, J.G., et al. (2008) Intracranial Vascular Lesions Associated with Small Epidural Hematomas. Neurosurgery, 62, 416-420.
http://dx.doi.org/10.1227/01.neu.0000316008.11388.f2
 
[9]Chen, D., Concus, A.P., Halbach, V.V., et al. (1998) Epistaxis Originating from Traumatic Pseudoaneurysm of the Internal Carotid Artery: Diagnosis and Endovascular Therapy. Laryngoscope, 108, 326-331.
http://dx.doi.org/10.1097/00005537-199803000-00004
 
[10]Fontela, P.S., Tampieri, D., Atkinson, J.D., et al. (2006) Posttraumatic Pseudoaneurysm of the Intracavernous Internal Carotid Artery Presenting with Massive Epistaxis. Pediatric Critical Care Medicine, 7, 260-262.
http://dx.doi.org/10.1097/01.PCC.0000216418.01278.5E
 
[11]Singam, P., Thanabalan, J. and Mohammed, Z. (2011) Superselective Embolisation for Control of Intractable Epistaxis from Maxillary Artery Injury. Biomedical Imaging and Intervention Journal, 7, e3.
 
[12]Song, H.H., Won, Y.D., Kim, Y.J., et al. (2008) The Endovascular Management of Saccular Posterior Inferior Cerebellar Artery Aneurysms. Korean Journal of Radiology, 9, 396-400.
http://dx.doi.org/10.3348/kjr.2008.9.5.396                                                                      eww150120lx
 
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