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Published 1 September 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.03.2009.1711]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Intraparenchymal haematoma related to true middle meningeal artery aneurysm: a case report

Cetin Akyol, Erhan Turkoglu, Burak Kazanci, Hakan Seckin, Hayri Kertmen, Murad Bavbek

Ministry of Health Diskapi Yildirim Beyazit Research and Educational Hospital Neurosurgery Clinic, SB Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, Altindag, Ankara, 06110, Turkey

Correspondence to:
Erhan Turkoglu, drmet122{at}yahoo.com

SUMMARY

Non-traumatic middle meningeal artery aneurysm and rupture resulting in intracranial haemorrhage is rare. In the present case, a 73-year-old man was admitted to hospital with a history of a minor head trauma. A CT scan of the head revealed a 2x2 cm intraparenchymal haematoma without significant mass effect in the left temporal lobe. The cerebral angiogram revealed a middle meningeal artery aneurysm. Intracerebral haematoma due to extracranial aneurysm is extremely rare, but should be considered when the history is suspicious and cranial CT is non-contributory.


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