Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma

Traumatic middle meningeal artery (MMA)–middle meningeal vein (MMV) fistula (MMA-MMV fistula) and MMA pseudoaneurysm are the 2 main MMA-related vascular diseases occurring after blunt head trauma. These are rare but known causes of delayed intracranial hemorrhage. This study investigated predictors...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:World neurosurgery 2023-12, Vol.180, p.e667-e675
Hauptverfasser: Kidani, Tomoki, Ozaki, Tomohiko, Nakajima, Shin, Kanemura, Yonehiro, Izutsu, Nobuyuki, Kawamoto, Saki, Taki, Kowashi, Murakami, Keijiro, Nishizawa, Naoki, Kobayashi, Koji, Fujimi, Yosuke, Fujinaka, Toshiyuki
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page e675
container_issue
container_start_page e667
container_title World neurosurgery
container_volume 180
creator Kidani, Tomoki
Ozaki, Tomohiko
Nakajima, Shin
Kanemura, Yonehiro
Izutsu, Nobuyuki
Kawamoto, Saki
Taki, Kowashi
Murakami, Keijiro
Nishizawa, Naoki
Kobayashi, Koji
Fujimi, Yosuke
Fujinaka, Toshiyuki
description Traumatic middle meningeal artery (MMA)–middle meningeal vein (MMV) fistula (MMA-MMV fistula) and MMA pseudoaneurysm are the 2 main MMA-related vascular diseases occurring after blunt head trauma. These are rare but known causes of delayed intracranial hemorrhage. This study investigated predictors that may aid in the diagnosis of these diseases. In our department, screening digital subtraction angiography (DSA) is performed for patients with blunt head trauma accompanied by intracranial hemorrhage and skull or facial bone fracture. This study included 87 patients who underwent screening DSA without craniotomy from January 2019 to June 2023. The patients' clinical characteristics were retrospectively collected from the database. Statistical analysis was performed to examine the associations of various evaluation items with MMA-related vascular diseases. The first DSA examination revealed 34 MMA-MMV fistulas and 1 MMA pseudoaneurysms. The second follow-up DSA examination revealed 13 MMA-MMV fistulas and four MMA pseudoaneurysms. Temporal/parietal bone fracture (odds ratio, 5.33; P = 0.0005; 95% confidence interval, 1.95–14.60) was significantly associated with MMA-related vascular diseases. Endovascular treatments were performed in 9 patients. All procedures were successfully completed without complications; no delayed bleeding was observed. Temporal/parietal bone fracture in patients with blunt head trauma is a likely predictor of MMA-related vascular diseases. When initial head computed tomography reveals this pathology, we recommend careful imaging follow-up (e.g., DSA) and treatment as needed, while considering the possibility of MMA-related vascular diseases.
doi_str_mv 10.1016/j.wneu.2023.10.006
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2875379925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1878875023014006</els_id><sourcerecordid>2875379925</sourcerecordid><originalsourceid>FETCH-LOGICAL-c307t-699539fd8af2985cb08f0144fd4800a3af96b21cff5166984b44779314a1ee903</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMorqh_wIPk6KU1afqRgJf1W3BRRL2GNJlolm67Jq3L_ntTVz06lxneeeeFeRA6oiSlhJan83TVwpBmJGNRSAkpt9Ae5RVPeFWK7b-5IBN0GMKcxGI05xXbRRNWccoY43tIPXowTvedD7izeOaMaQDPoHXtG6gGT30Pfp08QaN6MPhVBT00yuNLF0AFCHgaQqfd93Ll-nd83gxtj29BGfzs1bBQB2jHqibA4U_fRy_XV88Xt8n9w83dxfQ-0YxUfVIKUTBhDVc2E7zQNeGW0Dy3JueEKKasKOuMamsLWpaC53WeV5WILykKIAjbRyeb3KXvPgYIvVy4oKFpVAvdEGQWWbBKiKyI1mxj1b4LwYOVS-8Wyq8lJXKkK-dypCtHuqMW6caj45_8oV6A-Tv5ZRkNZxsDxC8_HXgZtINWR74edC9N5_7L_wJDJIrC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2875379925</pqid></control><display><type>article</type><title>Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma</title><source>Elsevier ScienceDirect Journals Complete - AutoHoldings</source><source>MEDLINE</source><creator>Kidani, Tomoki ; Ozaki, Tomohiko ; Nakajima, Shin ; Kanemura, Yonehiro ; Izutsu, Nobuyuki ; Kawamoto, Saki ; Taki, Kowashi ; Murakami, Keijiro ; Nishizawa, Naoki ; Kobayashi, Koji ; Fujimi, Yosuke ; Fujinaka, Toshiyuki</creator><creatorcontrib>Kidani, Tomoki ; Ozaki, Tomohiko ; Nakajima, Shin ; Kanemura, Yonehiro ; Izutsu, Nobuyuki ; Kawamoto, Saki ; Taki, Kowashi ; Murakami, Keijiro ; Nishizawa, Naoki ; Kobayashi, Koji ; Fujimi, Yosuke ; Fujinaka, Toshiyuki</creatorcontrib><description>Traumatic middle meningeal artery (MMA)–middle meningeal vein (MMV) fistula (MMA-MMV fistula) and MMA pseudoaneurysm are the 2 main MMA-related vascular diseases occurring after blunt head trauma. These are rare but known causes of delayed intracranial hemorrhage. This study investigated predictors that may aid in the diagnosis of these diseases. In our department, screening digital subtraction angiography (DSA) is performed for patients with blunt head trauma accompanied by intracranial hemorrhage and skull or facial bone fracture. This study included 87 patients who underwent screening DSA without craniotomy from January 2019 to June 2023. The patients' clinical characteristics were retrospectively collected from the database. Statistical analysis was performed to examine the associations of various evaluation items with MMA-related vascular diseases. The first DSA examination revealed 34 MMA-MMV fistulas and 1 MMA pseudoaneurysms. The second follow-up DSA examination revealed 13 MMA-MMV fistulas and four MMA pseudoaneurysms. Temporal/parietal bone fracture (odds ratio, 5.33; P = 0.0005; 95% confidence interval, 1.95–14.60) was significantly associated with MMA-related vascular diseases. Endovascular treatments were performed in 9 patients. All procedures were successfully completed without complications; no delayed bleeding was observed. Temporal/parietal bone fracture in patients with blunt head trauma is a likely predictor of MMA-related vascular diseases. When initial head computed tomography reveals this pathology, we recommend careful imaging follow-up (e.g., DSA) and treatment as needed, while considering the possibility of MMA-related vascular diseases.</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2023.10.006</identifier><identifier>PMID: 37813338</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aneurysm, False - complications ; Aneurysm, False - etiology ; Blunt head trauma ; Fistula ; Head Injuries, Closed - complications ; Head Injuries, Closed - diagnostic imaging ; Humans ; Interventional treatment ; Intracranial Hemorrhages - complications ; Meningeal Arteries - diagnostic imaging ; Meningeal Arteries - injuries ; Middle meningeal artery ; Retrospective Studies ; Skull Fractures - complications ; Skull Fractures - diagnostic imaging ; Skull Fractures - surgery ; Traumatic arteriovenous fistula ; Traumatic pseudoaneurysm</subject><ispartof>World neurosurgery, 2023-12, Vol.180, p.e667-e675</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-699539fd8af2985cb08f0144fd4800a3af96b21cff5166984b44779314a1ee903</cites><orcidid>0000-0002-0923-2858 ; 0000-0003-1558-4785 ; 0000-0002-1546-5666 ; 0000-0002-0406-0698 ; 0000-0002-1894-1824 ; 0000-0001-8241-9515 ; 0000-0003-3153-2600 ; 0000-0001-9808-9565</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37813338$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kidani, Tomoki</creatorcontrib><creatorcontrib>Ozaki, Tomohiko</creatorcontrib><creatorcontrib>Nakajima, Shin</creatorcontrib><creatorcontrib>Kanemura, Yonehiro</creatorcontrib><creatorcontrib>Izutsu, Nobuyuki</creatorcontrib><creatorcontrib>Kawamoto, Saki</creatorcontrib><creatorcontrib>Taki, Kowashi</creatorcontrib><creatorcontrib>Murakami, Keijiro</creatorcontrib><creatorcontrib>Nishizawa, Naoki</creatorcontrib><creatorcontrib>Kobayashi, Koji</creatorcontrib><creatorcontrib>Fujimi, Yosuke</creatorcontrib><creatorcontrib>Fujinaka, Toshiyuki</creatorcontrib><title>Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Traumatic middle meningeal artery (MMA)–middle meningeal vein (MMV) fistula (MMA-MMV fistula) and MMA pseudoaneurysm are the 2 main MMA-related vascular diseases occurring after blunt head trauma. These are rare but known causes of delayed intracranial hemorrhage. This study investigated predictors that may aid in the diagnosis of these diseases. In our department, screening digital subtraction angiography (DSA) is performed for patients with blunt head trauma accompanied by intracranial hemorrhage and skull or facial bone fracture. This study included 87 patients who underwent screening DSA without craniotomy from January 2019 to June 2023. The patients' clinical characteristics were retrospectively collected from the database. Statistical analysis was performed to examine the associations of various evaluation items with MMA-related vascular diseases. The first DSA examination revealed 34 MMA-MMV fistulas and 1 MMA pseudoaneurysms. The second follow-up DSA examination revealed 13 MMA-MMV fistulas and four MMA pseudoaneurysms. Temporal/parietal bone fracture (odds ratio, 5.33; P = 0.0005; 95% confidence interval, 1.95–14.60) was significantly associated with MMA-related vascular diseases. Endovascular treatments were performed in 9 patients. All procedures were successfully completed without complications; no delayed bleeding was observed. Temporal/parietal bone fracture in patients with blunt head trauma is a likely predictor of MMA-related vascular diseases. When initial head computed tomography reveals this pathology, we recommend careful imaging follow-up (e.g., DSA) and treatment as needed, while considering the possibility of MMA-related vascular diseases.</description><subject>Aneurysm, False - complications</subject><subject>Aneurysm, False - etiology</subject><subject>Blunt head trauma</subject><subject>Fistula</subject><subject>Head Injuries, Closed - complications</subject><subject>Head Injuries, Closed - diagnostic imaging</subject><subject>Humans</subject><subject>Interventional treatment</subject><subject>Intracranial Hemorrhages - complications</subject><subject>Meningeal Arteries - diagnostic imaging</subject><subject>Meningeal Arteries - injuries</subject><subject>Middle meningeal artery</subject><subject>Retrospective Studies</subject><subject>Skull Fractures - complications</subject><subject>Skull Fractures - diagnostic imaging</subject><subject>Skull Fractures - surgery</subject><subject>Traumatic arteriovenous fistula</subject><subject>Traumatic pseudoaneurysm</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMorqh_wIPk6KU1afqRgJf1W3BRRL2GNJlolm67Jq3L_ntTVz06lxneeeeFeRA6oiSlhJan83TVwpBmJGNRSAkpt9Ae5RVPeFWK7b-5IBN0GMKcxGI05xXbRRNWccoY43tIPXowTvedD7izeOaMaQDPoHXtG6gGT30Pfp08QaN6MPhVBT00yuNLF0AFCHgaQqfd93Ll-nd83gxtj29BGfzs1bBQB2jHqibA4U_fRy_XV88Xt8n9w83dxfQ-0YxUfVIKUTBhDVc2E7zQNeGW0Dy3JueEKKasKOuMamsLWpaC53WeV5WILykKIAjbRyeb3KXvPgYIvVy4oKFpVAvdEGQWWbBKiKyI1mxj1b4LwYOVS-8Wyq8lJXKkK-dypCtHuqMW6caj45_8oV6A-Tv5ZRkNZxsDxC8_HXgZtINWR74edC9N5_7L_wJDJIrC</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Kidani, Tomoki</creator><creator>Ozaki, Tomohiko</creator><creator>Nakajima, Shin</creator><creator>Kanemura, Yonehiro</creator><creator>Izutsu, Nobuyuki</creator><creator>Kawamoto, Saki</creator><creator>Taki, Kowashi</creator><creator>Murakami, Keijiro</creator><creator>Nishizawa, Naoki</creator><creator>Kobayashi, Koji</creator><creator>Fujimi, Yosuke</creator><creator>Fujinaka, Toshiyuki</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0923-2858</orcidid><orcidid>https://orcid.org/0000-0003-1558-4785</orcidid><orcidid>https://orcid.org/0000-0002-1546-5666</orcidid><orcidid>https://orcid.org/0000-0002-0406-0698</orcidid><orcidid>https://orcid.org/0000-0002-1894-1824</orcidid><orcidid>https://orcid.org/0000-0001-8241-9515</orcidid><orcidid>https://orcid.org/0000-0003-3153-2600</orcidid><orcidid>https://orcid.org/0000-0001-9808-9565</orcidid></search><sort><creationdate>202312</creationdate><title>Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma</title><author>Kidani, Tomoki ; Ozaki, Tomohiko ; Nakajima, Shin ; Kanemura, Yonehiro ; Izutsu, Nobuyuki ; Kawamoto, Saki ; Taki, Kowashi ; Murakami, Keijiro ; Nishizawa, Naoki ; Kobayashi, Koji ; Fujimi, Yosuke ; Fujinaka, Toshiyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-699539fd8af2985cb08f0144fd4800a3af96b21cff5166984b44779314a1ee903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aneurysm, False - complications</topic><topic>Aneurysm, False - etiology</topic><topic>Blunt head trauma</topic><topic>Fistula</topic><topic>Head Injuries, Closed - complications</topic><topic>Head Injuries, Closed - diagnostic imaging</topic><topic>Humans</topic><topic>Interventional treatment</topic><topic>Intracranial Hemorrhages - complications</topic><topic>Meningeal Arteries - diagnostic imaging</topic><topic>Meningeal Arteries - injuries</topic><topic>Middle meningeal artery</topic><topic>Retrospective Studies</topic><topic>Skull Fractures - complications</topic><topic>Skull Fractures - diagnostic imaging</topic><topic>Skull Fractures - surgery</topic><topic>Traumatic arteriovenous fistula</topic><topic>Traumatic pseudoaneurysm</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kidani, Tomoki</creatorcontrib><creatorcontrib>Ozaki, Tomohiko</creatorcontrib><creatorcontrib>Nakajima, Shin</creatorcontrib><creatorcontrib>Kanemura, Yonehiro</creatorcontrib><creatorcontrib>Izutsu, Nobuyuki</creatorcontrib><creatorcontrib>Kawamoto, Saki</creatorcontrib><creatorcontrib>Taki, Kowashi</creatorcontrib><creatorcontrib>Murakami, Keijiro</creatorcontrib><creatorcontrib>Nishizawa, Naoki</creatorcontrib><creatorcontrib>Kobayashi, Koji</creatorcontrib><creatorcontrib>Fujimi, Yosuke</creatorcontrib><creatorcontrib>Fujinaka, Toshiyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kidani, Tomoki</au><au>Ozaki, Tomohiko</au><au>Nakajima, Shin</au><au>Kanemura, Yonehiro</au><au>Izutsu, Nobuyuki</au><au>Kawamoto, Saki</au><au>Taki, Kowashi</au><au>Murakami, Keijiro</au><au>Nishizawa, Naoki</au><au>Kobayashi, Koji</au><au>Fujimi, Yosuke</au><au>Fujinaka, Toshiyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2023-12</date><risdate>2023</risdate><volume>180</volume><spage>e667</spage><epage>e675</epage><pages>e667-e675</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>Traumatic middle meningeal artery (MMA)–middle meningeal vein (MMV) fistula (MMA-MMV fistula) and MMA pseudoaneurysm are the 2 main MMA-related vascular diseases occurring after blunt head trauma. These are rare but known causes of delayed intracranial hemorrhage. This study investigated predictors that may aid in the diagnosis of these diseases. In our department, screening digital subtraction angiography (DSA) is performed for patients with blunt head trauma accompanied by intracranial hemorrhage and skull or facial bone fracture. This study included 87 patients who underwent screening DSA without craniotomy from January 2019 to June 2023. The patients' clinical characteristics were retrospectively collected from the database. Statistical analysis was performed to examine the associations of various evaluation items with MMA-related vascular diseases. The first DSA examination revealed 34 MMA-MMV fistulas and 1 MMA pseudoaneurysms. The second follow-up DSA examination revealed 13 MMA-MMV fistulas and four MMA pseudoaneurysms. Temporal/parietal bone fracture (odds ratio, 5.33; P = 0.0005; 95% confidence interval, 1.95–14.60) was significantly associated with MMA-related vascular diseases. Endovascular treatments were performed in 9 patients. All procedures were successfully completed without complications; no delayed bleeding was observed. Temporal/parietal bone fracture in patients with blunt head trauma is a likely predictor of MMA-related vascular diseases. When initial head computed tomography reveals this pathology, we recommend careful imaging follow-up (e.g., DSA) and treatment as needed, while considering the possibility of MMA-related vascular diseases.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37813338</pmid><doi>10.1016/j.wneu.2023.10.006</doi><orcidid>https://orcid.org/0000-0002-0923-2858</orcidid><orcidid>https://orcid.org/0000-0003-1558-4785</orcidid><orcidid>https://orcid.org/0000-0002-1546-5666</orcidid><orcidid>https://orcid.org/0000-0002-0406-0698</orcidid><orcidid>https://orcid.org/0000-0002-1894-1824</orcidid><orcidid>https://orcid.org/0000-0001-8241-9515</orcidid><orcidid>https://orcid.org/0000-0003-3153-2600</orcidid><orcidid>https://orcid.org/0000-0001-9808-9565</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1878-8750
ispartof World neurosurgery, 2023-12, Vol.180, p.e667-e675
issn 1878-8750
1878-8769
1878-8769
language eng
recordid cdi_proquest_miscellaneous_2875379925
source Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE
subjects Aneurysm, False - complications
Aneurysm, False - etiology
Blunt head trauma
Fistula
Head Injuries, Closed - complications
Head Injuries, Closed - diagnostic imaging
Humans
Interventional treatment
Intracranial Hemorrhages - complications
Meningeal Arteries - diagnostic imaging
Meningeal Arteries - injuries
Middle meningeal artery
Retrospective Studies
Skull Fractures - complications
Skull Fractures - diagnostic imaging
Skull Fractures - surgery
Traumatic arteriovenous fistula
Traumatic pseudoaneurysm
title Predictors of Middle Meningeal Artery-Related Vascular Diseases Associated with Blunt Head Trauma
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T15%3A58%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Predictors%20of%20Middle%20Meningeal%20Artery-Related%20Vascular%20Diseases%20Associated%20with%20Blunt%20Head%20Trauma&rft.jtitle=World%20neurosurgery&rft.au=Kidani,%20Tomoki&rft.date=2023-12&rft.volume=180&rft.spage=e667&rft.epage=e675&rft.pages=e667-e675&rft.issn=1878-8750&rft.eissn=1878-8769&rft_id=info:doi/10.1016/j.wneu.2023.10.006&rft_dat=%3Cproquest_cross%3E2875379925%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2875379925&rft_id=info:pmid/37813338&rft_els_id=S1878875023014006&rfr_iscdi=true