Spontaneous Middle Meningeal Artery Aneurysms: A Case Report and Review of the Literature

被引:0
|
作者
Velandia, Felipe Ramirez [1 ]
Young, Michael [1 ]
Ogilvy, Christopher S. [1 ,2 ]
机构
[1] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Neurosurg, Boston, MA 02115 USA
[2] Beth Israel Deaconess Med Ctr, Brain Aneurysm Inst, Neurosurg, Boston, MA USA
关键词
endovascular coil embolization; spontaneous; middle meningeal artery; endovascular procedures; aneurysm; INTRACEREBRAL HEMORRHAGE; HEMATOMA; MENINGIOMA; PATIENT; RUPTURE;
D O I
10.7759/cureus.49407
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Most reported aneurysms concerning the middle meningeal artery (MMA) are pseudoaneurysms; however, there have been rare reports of non-traumatic MMA aneurysms in the literature. In this paper, we present the case of a 70-year-old female with a true 5-mm aneurysm in the anterior division of the left MMA that was causing erosion through the left temporal bone and was successfully treated with coil embolization. We also present a comprehensive literature review of non-traumatic MMA aneurysms reported since 1930. These aneurysms are associated with conditions such as hypertension, Paget's disease, and intracranial meningiomas and result from flow dynamics disturbances. Treatment involves both endovascular treatment and open surgery, while rupture, especially in the elderly, results in high disability, underscoring the importance of timely intervention upon identification.
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页数:10
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