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

• 作者: Guangzhong Gao Jianjun Gu Jun Lu Shiming Zhang Xiaolin Wang Zehao Liu
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: TRAUMATIC PSEUDOANEURYSM Middle MENINGEAL Artery (MMA) EPISTAXIS ENDOVASCULAR Treatment
• 年，卷（期）: lcyxblbgyw_2015,（1）
• 页码范围: 28-31
• 页数: 4页
• 分类号: R73

摘要

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.