Traumatic middle meningeal artery and fistula formation with the cavernous sinus: case report

Background: In this study, we present a young patient with traumatic middle meningeal fistula treated with detachable balloon through the middle meningeal artery. Case Description: The case of a 22-year-old man with exophthalmos due to an arteriovenous fistula between the middle meningeal artery and the cavernous sinus at the base of the middle cranial fossa is reported. Complete embolization was performed with a detachable balloon and resulted in complete relief of the symptoms. Conclusion: The middle meningeal fistula can be caused by head trauma; selective external carotid angiogram is necessary for correct diagnosis, and endovascular embolization is an effective way. (C) 2008 Elsevier Inc. All rights reserved.