title: Traumatic lesions of the bilateral middle meningeal arteries--case report.
abstract: A 44-year-old man presented with traumatic injuries of the bilateral middle meningeal arteries after a traffic accident. Neurological examination found left visual impairment due to left optic nerve injury. Computed tomography demonstrated a small amount of left epidural hemorrhage and bilateral skull fractures. Left external carotid angiography revealed a pseudoaneurysm of the left middle meningeal artery at the sphenoid ridge. Right external carotid angiography demonstrated a dural arteriovenous fistula fed by the right middle meningeal artery colocated with the right frontal convexity fracture. Transarterial embolization of the left middle meningeal artery pseudoaneurysm with four fibered platinum coils and transarterial embolization of the right dural arteriovenous fistula with poly(2-hydroxyethyl methacrylate-co-methyl methacrylate) were performed, resulting in complete obliteration of both lesions. Angiographic cure was obtained and the postoperative course was uneventful.
authors.affiliation: Department of Neurosurgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Kawaguchi
authors.forename: Teruaki
authors.initials: T
authors.lastname: Kawano
authors.forename: Yoshirou
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Takao
authors.initials: T
authors.lastname: Ooasa
authors.forename: Hidesato
authors.initials: H
authors.lastname: Ooigawa
authors.forename: Sadanobu
authors.initials: S
authors.lastname: Ogasawara
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy; D020785:Central Nervous System Vascular Malformations / Q000150:complications*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008576:Meningeal Arteries / Q000293:injuries*; D014947:Wounds and Injuries / Q000150:complications*