{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:49:56Z","timestamp":1789577396960,"version":"build-2803163510"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Traumatic middle meningeal artery aneurysm (TMMA) is a rare condition and a known cause of several different bleeding patterns after head injury. Once detected, they need to be treated as an emergency due to their potential for morbidity and mortality. Generally, recurrence does not occur in surgery for acute epidural hematoma if adequate hemostasis is achieved. Here, we report a case of atypical postoperative recurrence of an acute epidural hematoma, possibly due to the development and rupture of a TMMA. A 41-year-old man with left acute epidural hematoma after a head injury was referred to our hospital. Emergency craniotomy was performed immediately, and the hematoma was removed. The source of the bleeding was near the fracture site in the middle cranial fossa, and sufficient hemostasis was confirmed. However, a head computed tomography (CT) scan the next day revealed a recurrence of the acute epidural hematoma. Magnetic resonance (MR) angiogram showed an aneurysm with a diameter of approximately 4\u2009mm in the left middle meningeal artery. The recurrence of the acute epidural hematoma appeared to be related to the formation and a rupture of a middle meningeal artery aneurysm, and to prevent subsequent rebleeding, the patient underwent reoperation, and the hematoma and aneurysm were removed. In surgery for acute epidural hematoma, recurrence can be prevented by removing the hematoma and ensuring hemostasis. Although conventional surgery was performed in this case, a repeat of epidural hematoma occurred. A postoperative middle meningeal artery aneurysm had been thought to have developed, ruptured, and caused a repeat epidural hematoma.<\/jats:p>\n                  <jats:p>In treating acute epidural hematoma, a TMMA development should be considered when an atypical clinical course occurs, such as a recurrence of postoperative bleeding.<\/jats:p>","DOI":"10.1055\/s-0044-1791580","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T19:07:42Z","timestamp":1728068862000},"page":"825-828","source":"Crossref","is-referenced-by-count":3,"title":["Traumatic Middle Meningeal Artery Aneurysm: A Rare Cause of Recurrent Acute Epidural Hematoma. A Case Report"],"prefix":"10.1055","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2144-663X","authenticated-orcid":false,"given":"Toshihide","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoyuki","family":"Yanaka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Aiyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minami","family":"Saura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michihide","family":"Kajita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.wneu.2018.06.158","article-title":"Delayed intracerebral hemorrhage after pseudoaneurysm of middle meningeal artery rupture: case report, literature review, and forensic issues","volume":"117","author":"E Montanari","year":"2018","journal-title":"World Neurosurg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/S0090-3019(01)00668-1","article-title":"Traumatic false aneurysm of the middle meningeal artery causing an intracerebral hemorrhage: case report and literature review","volume":"57","author":"M Bruneau","year":"2002","journal-title":"Surg Neurol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3171\/jns.1962.19.4.0337","article-title":"Medial defects in the meningeal arteries","volume":"19","author":"O Hassler","year":"1962","journal-title":"J Neurosurg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"424","DOI":"10.3171\/jns.1966.25.4.0424","article-title":"Traumatic arterio-venous fistula of the middle meningeal vessels","volume":"25","author":"K Nakamura","year":"1966","journal-title":"J Neurosurg"},{"issue":"04","key":"ref5","first-page":"248","article-title":"Traumatic aneurysms of the internal and external carotid arteries. One case and a review of the literature","volume":"19","author":"J F Meder","year":"1992","journal-title":"J Neuroradiol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1227\/NEU.0b013e318256c27d","article-title":"Risk factors for acute subdural hematoma from intracranial aneurysm rupture","volume":"71","author":"J M Biesbroek","year":"2012","journal-title":"Neurosurgery"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1097\/00005373-199312000-00009","article-title":"Traumatic intracranial aneurysms: a contemporary review","volume":"35","author":"B Holmes","year":"1993","journal-title":"J Trauma"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"221","DOI":"10.2176\/nmc.42.221","article-title":"Traumatic lesions of the bilateral middle meningeal arteries: case report","volume":"42","author":"T Kawaguchi","year":"2002","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3171\/jns.1990.72.1.0009","article-title":"Recurrent hematomas following craniotomy for traumatic intracranial mass","volume":"72","author":"R Bullock","year":"1990","journal-title":"J Neurosurg"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1001\/archneur.60.5.783","article-title":"Cervical epidural hematoma causing hemiparesis","volume":"60","author":"N Sakamoto","year":"2003","journal-title":"Arch Neurol"},{"issue":"07","key":"ref11","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0011-3840(99)80807-7","article-title":"Blunt cerebrovascular injuries","volume":"36","author":"W L Biffl","year":"1999","journal-title":"Curr Probl Surg"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/00000658-200209000-00015","article-title":"Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes","volume":"236","author":"P R Miller","year":"2002","journal-title":"Ann Surg"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1791580.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T21:39:17Z","timestamp":1732570757000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1791580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,4]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,11,25]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1791580","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,4]]}}}