创伤性脑膜中动脉假性动脉瘤及随后形成的海绵窦瘘：病例报告
Traumatic middle meningeal artery pseudoaneurysm and subsequent fistula formation with the cavernous sinus: case report.
作者信息
Tsutsumi Masanori, Kazekawa Kiyoshi, Tanaka Akira, Ueno Yasushi, Nomoto Yasuyuki, Nii Kohei, Harada Hiroshi
机构信息
Department of Neurosurgery, Fukuoka University Chikushi Hospital, Chikushino City, Japan.
出版信息
Surg Neurol. 2002 Nov;58(5):325-8. doi: 10.1016/s0090-3019(02)00834-0.
BACKGROUND
A combination of pseudoaneurysm and arteriovenous fistula of the middle meningeal artery is rare. We describe a case of traumatic pseudoaneurysm of the middle meningeal artery, which subsequently formed a fistula with the cavernous sinus.
CASE DESCRIPTION
A 23-year-old man suffered from blunt head trauma and skull fractures. Sixteen days later, he suddenly experienced headache and a bruit was auscultated over the left ear. Three-dimensional computed tomographic angiography revealed dilatation of the left middle meningeal artery. The dilation proved to be a pseudoaneurysm on cerebral angiograms and it was also found to have formed a fistula with the cavernous sinus. Both lesions were successfully obliterated by endovascular embolization using microcoils.
CONCLUSION
Head injury may lead to asymptomatic pseudoaneurysm or dural arteriovenous fistula. Neurosurgeons should always bear in mind the possibility of such vascular injuries after blunt head trauma to prevent any hemorrhagic complications.
背景
脑膜中动脉假性动脉瘤合并动静脉瘘较为罕见。我们描述一例脑膜中动脉创伤性假性动脉瘤病例，该动脉瘤随后与海绵窦形成瘘。
病例描述
一名23岁男性遭受钝性头部外伤和颅骨骨折。16天后，他突然出现头痛，左耳听诊可闻及血管杂音。三维计算机断层血管造影显示左脑膜中动脉扩张。脑血管造影证实该扩张为假性动脉瘤，且发现其已与海绵窦形成瘘。使用微线圈进行血管内栓塞成功闭塞了这两个病变。
结论
头部损伤可能导致无症状性假性动脉瘤或硬脑膜动静脉瘘。神经外科医生应始终牢记钝性头部外伤后发生此类血管损伤的可能性，以预防任何出血性并发症。
Zotero 插件