[A case of traumatic middle meningeal arteriovenous fistula on the side of the head opposite to the injured side].
A rare case of a traumatic middle meningeal arteriovenous fistula on the side of the head opposite to the injured side was reported. A 21-year-old man was admitted to our hospital after a traffic accident in which the right side of his head was hit. CT scans and MR images on admission showed a right temporal bone fracture, traumatic subarachnoid hemorrhage, and a left frontal lobe contusion. Three months after the head injury, he complained of tinnitus and exophthalmos. One year after the head injury, left external carotid angiograms showed a dural arteriovenous fistula fed by the left dilated middle meningeal artery and draining into the middle meningeal vein. Early filling of the sphenoparietal sinus, cavernous sinus, superior ophthalmic vein, and the cortical vein were also detected. Transarterial embolization of the left middle meningeal fistula was performed, resulting in the disappearance of the lesion. The postoperative course was uneventful.
Takeuchi
Satoru
S
Department of Neurosurgery, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Takasato
Yoshio
Y
Masaoka
Hiroyuki
H
Hayakawa
Takanori
T
Otani
Naoki
N
Yoshino
Yoshikazu
Y
Yatsushige
Hiroshi
H
Sugawara
Takashi
T
Aoyagi
Chikashi
C
Suzuki
Go
G
D000063:Accidents, Traffic; D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D002533:Cerebral Angiography; D006259:Craniocerebral Trauma / Q000150:complications*; D006801:Humans; D008297:Male; D008576:Meningeal Arteries; D008578:Meninges / Q000098:blood supply*; D014057:Tomography, X-Ray Computed