TRAUMATIC ARTERIO-VENOUS FISTULAS OF THE MIDDLE MENINGEAL ARTERY: REPORT OF FOUR CASES Tomio Tsuchida 1 , Hiroaki Sekino 1 , Masakatsu Nagai 1 , Kimiyoshi Hirakawa 1 , Masahisa Matsumoto 2 , Noriko Miura 2 , Isao Hayakawa 3 , Hideaki Masuzawa 3 1Dept. of Neurosurgery, Faculty of Medicine, University of Tokyo 2Dept. of Neurosurgery, Central Hospital of J. N. R. 3Dept. of Neurosurgery, Bokuto General Hospital of Metropolitan Tokyo pp.481-487
Published Date 1970/4/1
DOI https://doi.org/10.11477/mf.1406202714
  • Abstract
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Four cases of traumatic arterio-venous fistulas of middle meningeal vessels were reported with brief review of 15 cases which had been reported pre-viously.

Twelve of 19 cases are related to intracranial hematomas.

In cases of those without intracranial hematoma, symptoms were 1) continuous, rather localized dull headache and/or 2) continuous, pulsating noise most intensive in the preauricular region.

Intracranial noise or bruit were reported in only three cases. In these cases, A-V fistulas were loca-lized at the beginning of the middle meningeal artery or near the petrosal bone, and the venous drainswere towards the petrosal portion containing the auditory organ.

In arteriogram, typical finding of the A-V fistula is visualized as "railroad-track appearance" or "tram-track appearance".

This was noted in our cases by selective external carotid angiography.

Copyright © 1970, Igaku-Shoin Ltd. All rights reserved.


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