N-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery

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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Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043319303905
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spelling doaj-bdbff687797448bab979b0080b70c2912020-11-24T22:10:09ZengElsevierRadiology 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
collection DOAJ
language English
format Article
sources DOAJ
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
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
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
title 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_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_sort n-butyl cyanoacrylate embolization of a traumatic pseudoaneurysm and arteriovenous fistula of the middle meningeal artery
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2020-04-01
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
url http://www.sciencedirect.com/science/article/pii/S1930043319303905
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