KMID : 1001920070420050416
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Journal of Korean Neurosurgical Society 2007 Volume.42 No. 5 p.416 ~ p.418
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Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery
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Lim Dong-Ho
Kim Tae-Sun Joo Sung-Pil Kim Soo-Han
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Abstract
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Hematomas caused by ruptured traumatic pseudoaneurysms of the middle meningeal artery (MMA) usually present with extradural hematomas, whereas intradural intraparenchymal hematomas are extremely rare. We report a case of traumatic pseudoaneurysm of the MMA giving rise to an intracerebral hematoma after head trauma. A 70-year-old man suffered a massive intracerebral temporoparietal hemorrhage after a head injury. CT angiogram of the brain revealed a large hematoma in the right middle cranial fossa extending to the right sylvian fissure. Cerebral angiogram also revealed a pseudoaneurysm of the MMA, which was successfully treated surgically. Although traumatic MMA pseudoaneurysm producing intracerebral hematoma (ICH) is rare, it should be considered as a possible cause of intracerebral hematoma.
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KEYWORD
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Traumatic pseudoaneurysm, Middle meningeal artery (MMA), Intracerebral hematoma
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