Paiva Wellingson Silva, de Andrade Almir Ferreira, Amorim Robson Luis, Figueiredo Eberval Gadelha, Teixeira Manoel Jacobsen
Division of Neurosurgery, Department of Neurology, Hospital Das Clinicas, University of Sao Paulo Medical School, 05406000 Sao Paulo, Brazil.
Case Rep Med. 2010;2010:219572. doi: 10.1155/2010/219572. Epub 2010 Jun 10.
Traumatic aneurysms comprise less than 1% of all intracranial aneurysms. Most of these aneurysms are actually false aneurysms, or pseudoaneurysms, which are caused by the rupture of entire vessel wall layers, with the wall of the aneurysm being formed by the surrounding cerebral structures. Traumatic pseudoaneurysms of the middle meningeal artery are also rare. Only four cases have been reported in the literature with intracerebral hematoma. In this paper, the authors report a case of a patient with a ruptured traumatic pseudoaneurysm of the MMA who presented with an intracerebral hematoma in the left temporal region immediately after trauma; the patient underwent endovascular treatment.
创伤性动脉瘤占所有颅内动脉瘤的比例不到1%。这些动脉瘤大多实际上是假性动脉瘤,由整个血管壁层破裂引起,动脉瘤壁由周围的脑结构形成。中脑膜动脉创伤性假性动脉瘤也很罕见。文献中仅报道了4例伴有脑内血肿的病例。在本文中,作者报告了1例MMA创伤性假性动脉瘤破裂患者,该患者在创伤后立即出现左侧颞叶脑内血肿;患者接受了血管内治疗。