• World Neurosurg · Oct 2019

    Case Reports

    Traumatic arteriovenous fistula between the extracranial middle meningeal artery and the petrosal vein: a case report.

    • Xei Fei, Wang Ting, Hao Jianqiang, Zhang Changwei, Seidu A Richard, and Liu Yanhui.
    • Department of Neurosurgery, Ziyang First People's Hospital, Ziyang, China; Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
    • World Neurosurg. 2019 Oct 1; 130: 50-53.

    BackgroundThe incidence of traumatic arteriovenous fistula (TAVF) between the middle meningeal artery (MMA) and the petrosal vein (PV) is rare. Although TAVF has been reported involving the MMA several sinus and veins, this is the first incidence of a fistula involving the extracranial MMA and PV.Case DescriptionWe present a 47-year-old male with sudden onset of weakness of his right limb and speech difficulty a few hours before admission to our facility. He had a 6-month history of mild traumatic head injury. Initial computed tomography revealed midbrain hemorrhage while digital subtraction angiography revealed a TAVF of the left MMA. Enhanced magnetic resonance imaging, however, revealed communication between the MMA and PV. We treated the patient with coil embolization via the transarterial route.ConclusionsThis is the first incidence of a fistula connecting the extracranial MMA and PV. We managed the patient with only coil embolization without any further neurologic deficits.Copyright © 2019 Elsevier Inc. All rights reserved.

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