title: Skull base fracture involving the foramen spinosum - an indirect sign of middle meningeal artery lesion: case report and literature review.
abstract: Skull base fractures comprise a relatively common finding among trauma patients. Before the widespread use of computed tomography (CT), these lesions used to be misdiagnosed. Currently, with improved imaging technology, diagnosis of skull base fractures is no longer cumbersome. On the other hand, cranial fractures involving the foramen spinosum are rarely described in the literature. In this present article, we report on a patient affected by head trauma, who suffered from a vault fracture towards the foramen spinosum and acute epidural hematoma (EH) due to middle meningeal artery injury. We further discuss the clinical consequences of foramen spinosum fracture.
authors.affiliation: Santa Marcelina de Itaquaquecetuba Hospital, Division of Neurosurgery, Sao Paulo, Brazil.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Aguiar
authors.forename: Joao
authors.initials: J
authors.lastname: Silva
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Souza
authors.forename: Marcus Andre
authors.initials: MA
authors.lastname: Acioly
mesh_terms: D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008576:Meningeal Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D019291:Skull Base / Q000000981:diagnostic imaging / Q000601:surgery; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*