N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery
We report a case of combined traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery, which presented clinically 1 year after initial head trauma. A 39-year-old male presented with seizure activity after a closed head injury from a fall. He was hospitalized for multiple int...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-04-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319303905 |
| _version_ | 1818519279518089216 |
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| author | Joshua A. Cuoco, DO, MS Evin L. Guilliams, DO Brendan J. Klein, DO Giovanni R. Malaty, BS Mark R. Witcher, MD, PhD John J. Entwistle, DO |
| author_facet | Joshua A. Cuoco, DO, MS Evin L. Guilliams, DO Brendan J. Klein, DO Giovanni R. Malaty, BS Mark R. Witcher, MD, PhD John J. Entwistle, DO |
| author_sort | Joshua A. Cuoco, DO, MS |
| collection | DOAJ |
| description | We report a case of combined traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery, which presented clinically 1 year after initial head trauma. A 39-year-old male presented with seizure activity after a closed head injury from a fall. He was hospitalized for multiple intraparenchymal hemorrhages and ultimately discharged 2 weeks later without neurologic deficits. One year later, he presented with a new right anterior temporal intraparenchymal hemorrhage after a syncopal event. Selective angiography of the right external carotid artery demonstrated a chronic appearing traumatic laceration of the proximal middle meningeal artery with a 6 × 10 mm pseudoaneurysm and a single fistula with venous varix draining into the lateral pterygoid veins. The pseudoaneurysm and arteriovenous fistula were successfully embolized with n-butyl cyanoacrylate. Keywords: Middle meningeal artery, Pseudoaneurysm, Arteriovenous fistula, n-butyl cyanoacrylate, Traumatic aneurysm, Neuroradiology |
| first_indexed | 2024-12-11T01:22:04Z |
| format | Article |
| id | doaj.art-bdbff687797448bab979b0080b70c291 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-11T01:22:04Z |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-bdbff687797448bab979b0080b70c2912022-12-22T01:25:41ZengElsevierRadiology Case Reports1930-04332020-04-01154321325N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal arteryJoshua A. Cuoco, DO, MS0Evin L. Guilliams, DO1Brendan J. Klein, DO2Giovanni R. Malaty, BS3Mark R. Witcher, MD, PhD4John J. Entwistle, DO5Carilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA; Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Virginia Tech School of Neuroscience, 300 Turner Street NW, Blacksburg, VA 24061, USA; Edward Via College of Osteopathic Medicine, 2265 Kraft Dr, Blacksburg, VA, 24060, USA; Corresponding author.Carilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA; Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Virginia Tech School of Neuroscience, 300 Turner Street NW, Blacksburg, VA 24061, USA; Edward Via College of Osteopathic Medicine, 2265 Kraft Dr, Blacksburg, VA, 24060, USACarilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA; Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Virginia Tech School of Neuroscience, 300 Turner Street NW, Blacksburg, VA 24061, USA; Edward Via College of Osteopathic Medicine, 2265 Kraft Dr, Blacksburg, VA, 24060, USAVirginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USACarilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA; Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Virginia Tech School of Neuroscience, 300 Turner Street NW, Blacksburg, VA 24061, USACarilion Clinic, Section of Neurosurgery, 1906 Belleview Ave, Roanoke, VA 24014, USA; Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Virginia Tech School of Neuroscience, 300 Turner Street NW, Blacksburg, VA 24061, USA; Edward Via College of Osteopathic Medicine, 2265 Kraft Dr, Blacksburg, VA, 24060, USAWe report a case of combined traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery, which presented clinically 1 year after initial head trauma. A 39-year-old male presented with seizure activity after a closed head injury from a fall. He was hospitalized for multiple intraparenchymal hemorrhages and ultimately discharged 2 weeks later without neurologic deficits. One year later, he presented with a new right anterior temporal intraparenchymal hemorrhage after a syncopal event. Selective angiography of the right external carotid artery demonstrated a chronic appearing traumatic laceration of the proximal middle meningeal artery with a 6 × 10 mm pseudoaneurysm and a single fistula with venous varix draining into the lateral pterygoid veins. The pseudoaneurysm and arteriovenous fistula were successfully embolized with n-butyl cyanoacrylate. Keywords: Middle meningeal artery, Pseudoaneurysm, Arteriovenous fistula, n-butyl cyanoacrylate, Traumatic aneurysm, Neuroradiologyhttp://www.sciencedirect.com/science/article/pii/S1930043319303905 |
| spellingShingle | Joshua A. Cuoco, DO, MS Evin L. Guilliams, DO Brendan J. Klein, DO Giovanni R. Malaty, BS Mark R. Witcher, MD, PhD John J. Entwistle, DO N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery Radiology Case Reports |
| title | N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| title_full | N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| title_fullStr | N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| title_full_unstemmed | N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| title_short | N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| title_sort | n butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319303905 |
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