{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:48:59Z","timestamp":1792259339146,"version":"4.4.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDural arteriovenous fistulas (AVFs) are reportedly induced by trauma. We report a rare case of traumatic AVF with a direct shunt from the middle meningeal artery (MMA) to the middle meningeal vein (MMV) and multiple drainage routes after head trauma. The patient was effectively treated with selective coil embolization alone without liquid embolic material.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 56-year-old woman was admitted to the emergency department with mild disturbance of consciousness caused by a head contusion after alcohol consumption. She exhibited impaired consciousness with a Glasgow coma scale score of 14 (E4V4M6), complained of headache, and presented with a hemorrhage in the left ear. Computed tomography suggested a skull fracture and cerebral hemorrhage. Magnetic resonance imaging conducted on the 4th<\/jats:sup> day after the injury indicated shunt disease with a feeder in the right MMA. Cerebral angiography on the 7th<\/jats:sup> day suggested a direct shunt from the right MMA to the MMV aligned with the temporal bone fracture line, with multiple drainage route perfusion. Coil embolization was performed on the 14th<\/jats:sup> day to occlude the shunt point selectively. In the final image, the MMA was absent, and the MMV, superior sagittal sinus, or pterygoid plexus was not visible through the shunt. Her symptoms improved, and she was discharged on the 20th<\/jats:sup> day and did not exhibit recurrence at the 1-year follow-up.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nAVF with a direct shunt from the MMA to MMV after head trauma can be effectively and safely treated with coil embolization alone, despite the need for long-term postoperative follow-up.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_19_2024","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T19:15:52Z","timestamp":1708110952000},"page":"51","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Traumatic arteriovenous fistula of the middle meningeal artery treated with selective coil embolization: A case report"],"prefix":"10.25259","volume":"15","author":[{"given":"Ryo","family":"Aiura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eisuke","family":"Hirose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Hirato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arisa","family":"Umesaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadayoshi","family":"Nakayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Tsumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"10.25259\/SNI_19_2024\/ref-1","doi-asserted-by":"crossref","first-page":"S219","DOI":"10.4103\/2152-7806.179575","article-title":"Middle meningeal arteriovenous fistulas: A rare and potentially high-risk Dural arteriovenous fistula","volume":"7","author":"Almefty","year":"2016","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_19_2024\/ref-2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/BF01808443","article-title":"Traumatic arteriovenous fistulae of the middle meningeal artery and neighbouring veins or Dural sinuses","volume":"55","author":"Freckmann","year":"1981","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_19_2024\/ref-3","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":"Hassler","year":"1962","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_19_2024\/ref-4","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":"Kawaguchi","year":"2002","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_19_2024\/ref-5","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.surneu.2007.09.032","article-title":"Traumatic indirect carotid cavernous fistulas: Angioarchitectures and results of transarterial embolization by liquid adhesives in 11 patients","volume":"71","author":"Luo","year":"2009","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_19_2024\/ref-6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.5797\/jnet.cr.2014-0037","article-title":"Traumatic aneurysm of the middle meningeal artery presenting with traumatic middle meningeal arteriovenous fistula: A case report","volume":"9","author":"Minami","year":"2015","journal-title":"J Neuroendovasc Ther"},{"key":"10.25259\/SNI_19_2024\/ref-7","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":"Nakamura","year":"1966","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_19_2024\/ref-8","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1136\/neurintsurg-2020-017237","article-title":"Dural venous system: Angiographic technique and correlation with ex vivo investigations","volume":"14","author":"Shapiro","year":"2022","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_19_2024\/ref-9","first-page":"907","article-title":"Case of traumatic Dural arteriovenous fistula presenting as an acute subdural hematoma and an intracerebral hematoma. 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