scholarly journals Traumatic Middle Meningeal Artery and Fistula Formation with the Cavernous Sinus and a Review of the Literature on Endovascular Management of Traumatic Carotid Cavernous Fistulas

Author(s):  
Xianli Lv ◽  
Youxiang Li ◽  
Chuhan Jiang
2002 ◽  
Vol 58 (5) ◽  
pp. 325-328 ◽  
Author(s):  
Masanori Tsutsumi ◽  
Kiyoshi Kazekawa ◽  
Akira Tanaka ◽  
Yasushi Ueno ◽  
Yasuyuki Nomoto ◽  
...  

2008 ◽  
Vol 70 (6) ◽  
pp. 660-663 ◽  
Author(s):  
Ai hua Liu ◽  
Xianli Lv ◽  
Youxiang Li ◽  
Ming Lv ◽  
Zhongxue Wu

2019 ◽  
Vol 128 ◽  
pp. 225-229 ◽  
Author(s):  
Andrea Gerosa ◽  
Andrea Fanti ◽  
Bruno Del Sette ◽  
Andrea Bianco ◽  
Christian Cossandi ◽  
...  

2020 ◽  
Vol 136 ◽  
pp. 198-204
Author(s):  
Giuseppe Emmanuele Umana ◽  
Concetto Cristaudo ◽  
Gianluca Scalia ◽  
Maurizio Passanisi ◽  
Gabriele Corsale ◽  
...  

1979 ◽  
Vol 50 (4) ◽  
pp. 522-524 ◽  
Author(s):  
Shiro Waga ◽  
Atsunori Morikawa ◽  
Tadashi Kojima

✓ A patient is reported with a purely pial arteriovenous malformation (AVM) supplied from the posterior parietal artery. The prominent middle meningeal artery contributed to opacification of the angular branches distal to the AVM, but did not contribute to the AVM. After total removal of the AVM, the angular branches became opacified from the middle cerebral artery. Review of the literature suggests that hypertrophied dural arteries which do not contribute to the AVM's but which do opacify the cortical branches distal to the AVM's are rare.


2015 ◽  
Vol 21 (3) ◽  
pp. 366-371 ◽  
Author(s):  
Akira Tempaku ◽  
Shigeru Yamauchi ◽  
Hidetoshi Ikeda ◽  
Nobuyuki Tsubota ◽  
Hironori Furukawa ◽  
...  

Purpose Although several strategies against recurrent chronic subdural hematoma (CSDH) have been proposed, no consensus has been established. Recently, middle meningeal artery (MMA) embolization has been proposed as radical treatment for recurrent CSDH. We wanted to estimate the usefulness of MMA embolization for recurrent CSDH. Methods From February 2012 to June 2013, 110 patients with CSDH underwent single burr-hole surgery with irrigation and drainage. Among these patients, 13 showed recurrent hematoma formation and were retreated surgically. Furthermore, repeated recurrence of CSDH was observed in six patients. Five of these six patients underwent middle meningeal artery (MMA) embolization with polyvinyl alcohol particles. All five patients with interventional treatment were observed for four to 60 weeks. Results No more recurrence of CSDH was observed in any of the patients. During the follow-up period, no patients suffered from any side effects or complications from the interventional treatment. Conclusion MMA embolization with careful attention paid to the procedure might be a treatment of choice for recurrent CSDH.


2021 ◽  
Author(s):  
MirHojjat Khorasanizadeh ◽  
Mira Salih ◽  
Dominic Harris ◽  
Christopher S Ogilvy

Abstract Transvenous embolization is the favored treatment for indirect carotid-cavernous fistulas (CCFs). However, transarterial embolization can be used as an alternative method when the venous route is inaccessible. We present the case of a 47-yr-old woman with a history of diplopia, headaches, and sixth cranial nerve (CN-VI) palsy who presented with acute worsening of headache and ophthalmoplegia and rise of intraocular pressures. Angiography demonstrated a left indirect CCF (dural arteriovenous malformation) with multiple arterial feeders from the internal carotid artery as well as the middle meningeal artery (MMA) (Barrow type D). Transvenous approach was attempted first but was unsuccessful due to difficult access to the cavernous sinus. Thus, transarterial embolization through the MMA feeding branches was planned. To avoid occluding distal branches of the MMA by Onyx, we coiled it distally. In addition, we used a scepter balloon proximally to prevent the reflux of Onyx into potential collaterals to cranial nerves from proximal MMA. After trapping a segment of the MMA, Onyx was injected into the CCF fistula through the small MMA feeders. A postembolization arteriogram showed obliteration of the CCF. The patient developed mild left facial nerve paresis on the first postoperative day (thought to be related to partial embolization of tiny arteries in the facial canal), which was resolving in the course of hospitalization. She remained neurologically stable, and was discharged on the third postoperative day. To the best of our knowledge, this is the first report of transarterial embolization of CCF by distal coiling and proximal ballooning to trap a segment of an artery. The authors hereby confirm that informed consent was obtained from the patient after thorough discussion of the procedure's rationale, risks, benefits, and alternatives.


2016 ◽  
Vol 23 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Jinlu Yu ◽  
Yunbao Guo ◽  
Zhongxue Wu ◽  
Kan Xu

The formation of a traumatic arteriovenous fistula (AVF) between the extracranial middle meningeal artery (MMA) and the pterygoid plexus (PP) is very rare, and understanding of this condition is limited. This paper reports the case of an 8-year-old who suffered minor injuries after a high fall four months prior to admission and showed good recovery after one month. However, the child gradually developed exophthalmos of the left eye and conjunctival redness one month prior to admission. Auscultation revealed an intracranial murmur near the left side of the face, in the temporal region. A digital subtraction angiography (DSA) showed rupture of the left extracranial MMA and an AVF between the MMA and the PP. The blood drained toward the cavernous sinus, resulting in retrograde blood flow into the ophthalmic vein and the cortical vein. The diagnosis was an AVF between the MMA and the PP, and a combination of coils and Onyx liquid embolic agent was employed to perform AVF embolization. Follow-up six months later indicated no recurrence of the AVF, and the patient showed good recovery with a normal-appearing left eye. The AVF in this case drained toward the cavernous sinus, and symptoms of increased intracranial venous system pressure were apparent, similar to those produced by fistulas between the internal carotid artery and the cavernous sinus. This condition is very rare, and the use of coils in combination with Onyx for AVF embolization is novel, warranting the reporting of the current case.


1981 ◽  
Vol 55 (6) ◽  
pp. 993-996 ◽  
Author(s):  
Gianni B. Brada ◽  
Johannes Schramm ◽  
Achredt Kaernbach

✓ A case of traumatic exophthalmos due to an arteriovenous fistula between the middle meningeal artery and the veins at the base of the skull is reported. There was no involvement of the cavernous sinus. Embolization following selective transfemoral catheterization of the external carotid artery resulted in complete relief of the symptoms.


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