A Patient with a Pseudoaneurysm of the Middle Meningeal Artery Who Developed Intracerebral Hemorrhage during Conservative Treatment for Traumatic Subarachnoid Hemorrhage

Seigo Kimura; Ryokichi Yagi; Ryo Tamaki; Daiji Ogawa; Tadashi Manno; Hirokatsu Taniguchi; Toshihiko Kuroiwa

doi:10.5797/jnet.cr.2018-0104

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A Patient with a Pseudoaneurysm of the Middle Meningeal Artery Who Developed Intracerebral Hemorrhage during Conservative Treatment for Traumatic Subarachnoid Hemorrhage

Seigo Kimura, Ryokichi Yagi, Ryo Tamaki, Daiji Ogawa, Tadashi Manno, Hirokatsu Taniguchi, Toshihiko Kuroiwa

著者情報

キーワード: pseudoaneurysm of the middle meningeal artery, intracerebral hemorrhage, hematoma removal under craniotomy, aneurysm embolization

ジャーナルオープンアクセス早期公開

論文ID: cr.2018-0104

DOI https://doi.org/10.5797/jnet.cr.2018-0104

この記事には本公開記事があります。

The final version of this article is now available: Vol. 13 (2019), No. 7 pp. 299-306

詳細

抄録

Objective: We report a 73-year-old male in whom a traumatic pseudoaneurysm of the middle meningeal artery (PMMA) increased during conservative treatment for traumatic subarachnoid hemorrhage, an acute subdural hematoma, and brain contusion, leading to intracerebral hemorrhage related to its rupture.

Case Presentation: During decommissioning operations, he fell down from the bed of a truck, and was brought to our hospital by ambulance. Head CT revealed traumatic subarachnoid hemorrhage, left acute subdural hematoma, and brain contusion. Conservative treatment was performed. Left temporal lobe hemorrhage related to the rupture of a traumatic pseudoaneurysm of the left middle meningeal artery (MMA) was observed 20 days after onset. Emergency endovascular treatment and hematoma removal under craniotomy were conducted.

Conclusion: In cases of subarachnoid hemorrhage after head trauma, serial changes should be assessed using CTA and DSA, considering the possibility of a traumatic PMMA.

責任著者(Corresponding author)