title: Traumatic pseudoaneurysm of the middle meningeal artery and cerebral intraparenchymal hematoma: case report.
abstract: BACKGROUND
  Pseudoaneuryms of the MMA are rare lesions, accounting for less than 1% of all intracranial aneurysms.
  
  
  METHODS
  We report a case of a spontaneous intracerebral hematoma that DSA revealed as ispilateral traumatic PMMA. The lesion was managed through an endovascular approach, and definitive embolization of pseudoaneurysm and parent vessel with histoacryl injection was carried out. Recovery and follow-up were uneventful. We discuss the management of those lesions, emphasizing the current neuroendovascular tools and techniques.
  
  
  CONCLUSIONS
  Pseudoaneurysm of the MMA is uncommon but has a potential aggressive natural history. As it can occur with different patterns of intracranial hemorrhage, the external carotid arteries have to be included in hemorrhagic investigational DSA. Once diagnosed, it must be treated. The minimally invasive endovascular approach and definitive embolization of pseudoaneurysm and parent vessel with histoacryl injection are safe and effective.
authors.affiliation: Hospital da Restauração, University of Pernambuco, Recife 52071-000, Brazil. patri_boz@yahoo.fr <patri_boz@yahoo.fr>
authors.forename: Patricia
authors.initials: P
authors.lastname: Bozzetto-Ambrosi
authors.forename: Gustavo
authors.initials: G
authors.lastname: Andrade
authors.forename: Hildo
authors.initials: H
authors.lastname: Azevedo-Filho
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D006801:Humans; D020198:Intracranial Hemorrhage, Traumatic / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D008576:Meningeal Arteries