Endovascular Management of Middle Meningeal Artery Post-traumatic Pseudoaneurysm with Adjacent Intracerebral Haematoma

Abstract

ABSTRACT Traumatic pseudoaneurysm of middle meningeal artery (MMA) occurs mostly in association with temporal bone fractures following head trauma. Hence, timely, the management of such pseudoaneurysm is extremely of crucial importance for improving prognosis. The article reports the case of a patient who met with a motor vehicle accident and was found to have a large intracerebral haematoma in the left temporal lobe on the initial non-contrast computed tomography scan of the brain, which on evaluation with magnetic resonance imaging, was found to be a pseudo-aneurysm of the middle meningeal artery, successfully embolised with the liquid, non-adhesive embolic agent Onyx. This pseudoaneurysm was successfully embolised with the liquid, non-adhesive embolic agent Onyx.