Transcatheter Embolization Combined with Surgical Resection for Traumatic Middle Meningeal Artery-vein Fistula: A Case Report
Abstract
Traumatic carotid-cavernous arteriovenous fistula (TCCAVF) is a rare but severe cerebrovascular disorder, often resulting from head trauma with temporal bone fractures. The pathogenesis involves vessel wall injury due to traction, frequently associated with fractures near the middle meningeal artery. This case highlights the typical clinical presentation, diagnostic approaches, and therapeutic management of TCCAVF, emphasizing the challenges in treating this condition. Transcatheter embolization proved effective in occluding the fistula, underscoring its role as a key intervention for traumatic meningeal arteriovenous fistulas.
References
Lim DH, Kim TS, Joo SP, et al., 2007, Intracerebral Hematoma Caused by Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery: A Case Report. J Korean Neurosurg Soc, 42: 416–418.
Kawaguchi T, Kawano T, Kaneko Y, et al., 2002, Traumatic Lesions of the Bilateral Middle Meningeal Arteries – Case Report. Neurol Med Chir (Tokyo), 42: 221–223.
Sakata H, Nishimura S, Mino M, et al., 2009, Serial Angiography of Dynamic Changes of Traumatic Middle Meningeal Arteriovenous Fistula: Case Report. Neurol Med Chir (Tokyo), 49: 462–464.
Chen CJ, Lee CC, Ding D, 2018, Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas: A Systematic Review and Meta-Analysis. World Neurosurg, 110: 529–541.
Gandhi D, Chen J, Pearl M, et al., 2012, Intracranial Dural Arteriovenous Fistulas: Classification, Imaging Findings, and Treatment. AJNR Am J Neuroradiol, 33(6): 1007–1013.
Gross BA, Du R, 2012, The Natural History of Cerebral Dural Arteriovenous Fistulae. Neurosurgery, 71(3): 594–602.
Lv X, Jiang C, Li Y, et al., 2009, Complications Related to Percutaneous Transarterial Embolization of Intracranial Dural Arteriovenous Fistulas in 40 Patients. AJNR Am J Neuroradiol, 30(3): 462–468.
Zipfel GJ, Shah MN, Refai D, et al., 2009, Cranial Dural Arteriovenous Fistulas: Modification of Angiographic Classification Scales Based on New Natural History Data. Neurosurg Focus, 26(5): E14.
van Dijk JM, terBrugge KG, Willinsky RA, et al., 2002, Clinical Course of Cranial Dural Arteriovenous Fistulas With Long-Term Persistent Cortical Venous Reflux. Stroke, 33(5): 1233–1236.
Lawton MT, Chun J, Wilson CB, et al., 1999, Ethmoidal Dural Arteriovenous Fistulae: An Assessment of Surgical and Endovascular Management. Neurosurgery, 45(4): 805–811.
Borden JA, Wu JK, Shucart WA, 1995, A Proposed Classification for Spinal and Cranial Dural Arteriovenous Fistulous Malformations and Implications for Treatment. J Neurosurg, 82(2): 166–179.
