J Cerebrovasc Endovasc Neurosurg.  2018 Sep;20(3):187-190. 10.7461/jcen.2018.20.3.187.

Rupture of a Middle Meningeal Artery Pseudoaneurysm in Moyamoya Syndrome Related with Tuberculous Meningitis

• Mun HY
• Nam TK
• Choi HH
• Park YS

• KMID: 2422771
• DOI: http://doi.org/10.7461/jcen.2018.20.3.187

Abstract

We report a rare case of a patient with Moyamoya syndrome who presented with intracerebral hemorrhage resulting from rupture of a middle meningeal artery pseudoaneurysm. This 38-year-old woman was unconscious and hemiplegic when she was admitted to our hospital. The patient had mental retardation as a result of tuberculous meningitis infection at the age of one year. On radiologic examination, she had intracerebral hemorrhage in the right temporo-parietal lobe and an aneurysm in the middle meningeal artery with right internal carotid artery occlusion. The patient underwent surgical treatment for the hemorrhage and aneurysm. The radiologic data, intraoperative findings, and pathology were consistent with a diagnosis of pseudoaneurysm. In the current report, we describe a rare case of a patient with a history of tuberculous meningitis who developed Moyamoya syndrome and pseudoaneurysm, which resulted in a ruptured middle meningeal artery pseudoaneurysm and brain hemorrhage.

Keyword

Middle meningeal artery; Pseudoaneurysm; Moyamoya syndrome; Tuberculous meningitis

MeSH Terms

Adult
Aneurysm
Aneurysm, False*
Carotid Artery, Internal
Cerebral Hemorrhage
Diagnosis
Female
Hemorrhage
Humans
Intellectual Disability
Intracranial Hemorrhages
Meningeal Arteries*
Moyamoya Disease*
Pathology
Rupture*
Tuberculosis, Meningeal*