Akyol Cetin, Turkoglu Erhan, Kazancı Burak, Seckin Hakan, Kertmen Hayri, Bavbek Murad
Ministry of Health Diskapi Yildirim Beyazit Research and Educational Hospital Neurosurgery Clinic, SB Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, Altindag, Ankara, 06110, Turkey.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.03.2009.1711. Epub 2009 Sep 1.
Non-traumatic middle meningeal artery aneurysm and rupture resulting in intracranial haemorrhage is rare. In the present case, a 73-year-old man was admitted to hospital with a history of a minor head trauma. A CT scan of the head revealed a 2×2 cm intraparenchymal haematoma without significant mass effect in the left temporal lobe. The cerebral angiogram revealed a middle meningeal artery aneurysm. Intracerebral haematoma due to extracranial aneurysm is extremely rare, but should be considered when the history is suspicious and cranial CT is non-contributory.
非创伤性脑膜中动脉动脉瘤破裂导致颅内出血较为罕见。在本病例中，一名73岁男性因轻度头部外伤史入院。头部CT扫描显示左颞叶有一个2×2 cm的脑实质内血肿，无明显占位效应。脑血管造影显示为脑膜中动脉动脉瘤。颅外动脉瘤导致的脑内血肿极为罕见，但当病史可疑且头颅CT无诊断价值时应予以考虑。
