Author:
Tirado Selena-Rae,Bass David I.,Feroze Abdullah,Johnston Benjamin,Bi Wenya Linda,Du Rose
Abstract
Background:
Traumatic middle cerebral artery (MCA) pseudoaneurysms following minor head trauma are rare.
Case Description:
We report a case of a 76-year-old man who presented with a traumatic acute subdural hematoma and subarachnoid hemorrhage (SAH) from a ruptured distal right MCA pseudoaneurysm treated with evacuation of the hematoma, resection of the pseudoaneurysm, and an MCA-to-MCA bypass.
Conclusion:
Although traumatic pseudoaneurysms of the distal intracranial vessels are rare, patients with traumatic SAH would benefit from vascular imaging. Treatment of pseudoaneurysms of distal intracranial vessels may be treated with vessel occlusion or trapping/excision of aneurysm with revascularization.