Traumatic false aneurysm of the middle meningeal artery causing an intracerebral hemorrhage: case report and literature review.
BACKGROUND
Traumatic false aneurysms of the meningeal arteries are rare. We report an unusual case of an intracerebral hematoma caused by the rupture of a traumatic aneurysm of the middle meningeal artery.


METHODS
A 64-year-old woman suffered a massive spontaneous intracerebral fronto-temporal hemorrhage. Cerebral angiogram revealed a pseudoaneurysm of the middle meningeal artery. At operation, a skull fracture was discovered in the vicinity of the aneurysm. The patient died the day after surgery.


CONCLUSIONS
Although rare, traumatic meningeal aneurysms should be considered as a possible cause of cerebral hematoma. Because of their potential morbidity and mortality, they must be detected and treated rapidly.
Bruneau
Michaël
M
Department of Neurosurgery, University Hospital of Mont-Godinne, Université Catholique de Louvain, Yvoir, Belgium.
Gustin
Thierry
T
Zekhnini
Khalid
K
Gilliard
Claude
C
D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D020202:Cerebral Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D002560:Cerebrovascular Circulation / Q000502:physiology; D005260:Female; D006801:Humans; D008576:Meningeal Arteries / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D008875:Middle Aged; D011859:Radiography