Cuoco Joshua A, Guilliams Evin L, Klein Brendan J, Malaty Giovanni R, Witcher Mark R, Entwistle John J
Carilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA.
Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA.
Radiol Case Rep. 2020 Jan 20;15(4):321-325. doi: 10.1016/j.radcr.2019.12.009. eCollection 2020 Apr.
We report a case of combined traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery, which presented clinically 1 year after initial head trauma. A 39-year-old male presented with seizure activity after a closed head injury from a fall. He was hospitalized for multiple intraparenchymal hemorrhages and ultimately discharged 2 weeks later without neurologic deficits. One year later, he presented with a new right anterior temporal intraparenchymal hemorrhage after a syncopal event. Selective angiography of the right external carotid artery demonstrated a chronic appearing traumatic laceration of the proximal middle meningeal artery with a 6 × 10 mm pseudoaneurysm and a single fistula with venous varix draining into the lateral pterygoid veins. The pseudoaneurysm and arteriovenous fistula were successfully embolized with -butyl cyanoacrylate.
我们报告一例创伤性脑膜中动脉假性动脉瘤合并动静脉瘘病例，该病例在初次头部外伤1年后出现临床症状。一名39岁男性在因跌倒导致闭合性颅脑损伤后出现癫痫发作。他因多发脑实质内出血住院，最终在2周后出院，无神经功能缺损。1年后，他在一次晕厥事件后出现新的右侧颞前叶脑实质内出血。右侧颈外动脉选择性血管造影显示，脑膜中动脉近端有一慢性创伤性撕裂口，伴有一个6×10毫米的假性动脉瘤和一个单一瘘口，瘘口伴有静脉瘤样扩张，引流至翼外静脉。假性动脉瘤和动静脉瘘成功地用氰基丙烯酸正丁酯栓塞。
