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Traumatic Arteriovenous Fistula of the Middle Meningeal Artery During Infancy

Case Report and Review of the Literature
  • Rasmus Holmboe Dahl
  • Alfred Peter Born
  • Malene Landbo Børresen
  • Goetz BenndorfEmail author
Correspondence
  • 32 Downloads

Background and Importance

Traumatic arteriovenous fistulas (AVF) of the middle meningeal artery (MMA) are rare vascular lesions [1, 2]. After entering the middle cranial fossa through the foramen spinosum, the MMA courses laterally on the sphenoid bone in relation to an extensive network of variable small venous sinuses [3, 4]. This complex anatomy enables development of various traumatic MMA fistulas [2, 5, 6, 7, 8], but only three such cases involving the middle meningeal veins [9], pterygoid plexus [10], and sigmoid sinus [11] have been reported in pediatric patients. Fistulas of the MMA and carotid cavernous fistulas (CCF) [12, 13, 14, 15, 16, 17, 18, 19] constitute the majority of traumatic pediatric AVFs. They usually present months after the initial trauma. Traumatic MMA fistulas near the foramen spinosum may clinically mimic CCFs due to arterialization of the cavernous sinus (CS) [10]. Symptoms relate to orbital venous congestion causing bruit, proptosis, chemosis,...

Notes

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author Contribution

Conception and design: Dahl, Benndorf. Acquisition of data: R.H. Dahl, G. Benndorf. Analysis and interpretation of data: R.H. Dahl, G. Benndorf. Drafting the article: R.H. Dahl, G. Benndorf. Critically revising the article: all authors. Reviewed submitted version of manuscript: all authors. Approved the final version of the manuscript on behalf of all authors: G. Benndorf. Study supervision: G. Benndorf.

Compliance with ethical guidelines

Conflict of interest

R.H. Dahl, A.P. Born, M.L. Børresen and G. Benndorf declare that they have no competing interests.

Ethical standards

For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated in each case. The patient’s parents consented to publication of the images and clinical information. Written informed consent was obtained.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of RadiologyUniversity Hospital RigshospitaletCopenhagenDenmark
  2. 2.Department of PediatricUniversity Hospital RigshospitaletCopenhagenDenmark
  3. 3.Department of NeurologyUniversity Hospital AalborgAalborgDenmark
  4. 4.Department of RadiologyBaylor College of MedicineHoustonUSA

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