Aneurisma gigante no traumático de la arteria meníngea media. A propósito de un caso y revisión de la literatura.

Citation data:

Neurocirugia (Asturias, Spain), ISSN: 2340-6305, Vol: 29, Issue: 5, Page: 250-254

Publication Year:
2018
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PMID:
29292165
DOI:
10.1016/j.neucir.2017.11.003
Author(s):
Vilalta, Jordi; Martínez-Ricarte, Francisco; Martínez-Sáez, Elena A; Gándara, Darío; Arikan, Fuat
Publisher(s):
Elsevier BV
Tags:
Medicine
article description
A case of a non-traumatic giant aneurysm of the middle meningeal artery is presented in a 59-year-old patient with a history of liver transplantation, liver cirrhosis and hepatocarcinoma, chronic renal disease, hypertension and chronic bronchitis who presented with tonic-clonic seizures. CT and MRI showed a lesion suggestive of metastasis without ruling out a glial type tumor. He was operated through a left FT craniotomy. During the surgery there was an arterial hemorrhage. The histological sample oriented toward an aneurysmal origin that was confirmed with ARM and angiography. A second intervention allowed the removal of a giant middle meningeal aneurysm partially thrombosed. Aneurysms of the middle meningeal artery are rare and generally present a traumatic history. No case of giant aneurysm has been found in the medical literature.