{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T01:55:44Z","timestamp":1784339744489,"version":"3.55.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"19","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,11,10]]},"abstract":"\n BACKGROUND<\/jats:title>\n Acute subdural hematoma (ASDH) is a worrisome condition. The majority of traumatic ASDHs are secondary to the rupture of bridging veins. In cases of life-threatening rise of intracranial pressure, surgery can be indicated to alleviate intracranial pressure through a craniotomy with or without bone flap replacement.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n Here, the authors report the case of a 76-year-old male with a traumatic ASDH secondary to a skull base fracture causing laceration of the middle meningeal artery (MMA) at the foramen spinosum (FS). To the best of the authors\u2019 knowledge, ASDH secondary to laceration of the MMA has not been reported. They discuss relevant radiological and surgical anatomy as well as surgical implications.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Balloon-shaped anteroinferior hematoma is a hint of proximal laceration of the MMA. The FS must be carefully checked on imaging when dealing with ASDH. In such cases, the surgical approach should allow easy access to the middle fossa.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25331<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25331","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:11:59Z","timestamp":1769685119000},"source":"Crossref","is-referenced-by-count":1,"title":["Atypical acute subdural hematoma caused by skull base fracture lacerating the middle meningeal artery: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Anis","family":"Choucha","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Aix Marseille University, APM, UH Timone, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5266-5322","authenticated-orcid":true,"given":"Hugues","family":"Bulteau","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lille University Hospital, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1722-2297","authenticated-orcid":true,"given":"Dieter","family":"Thijs","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Antwerp University, UH Antwerp, Edegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8172-6134","authenticated-orcid":true,"given":"Matteo De","family":"Simone","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy"},{"name":"Department of Neurosurgery, University Hospital \u201cSan Giovanni di Dio e Ruggi d\u2019Aragona,\u201d Salerno, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Baroncini","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lille University Hospital, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Santurro","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Iaconetta","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana,\u201d University of Salerno, Baronissi, Italy"},{"name":"Department of Neurosurgery, University Hospital \u201cSan Giovanni di Dio e Ruggi d\u2019Aragona,\u201d Salerno, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"24","key":"bib1","series-title":"N Engl J Med","first-page":"2219","article-title":"Decompressive craniectomy versus craniotomy for acute subdural hematoma","volume":"388","author":"Hutchinson","year":"2023","unstructured":"Hutchinson PJAdams HMohan MDecompressive craniectomy versus craniotomy for acute subdural hematoma. N Engl J Med. 2023;388(24):2219-2229."},{"issue":"6","key":"bib2","series-title":"J Neurosurg","first-page":"1378","article-title":"Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth","volume":"120","author":"Miller","year":"2014","unstructured":"Miller JDNader R.Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth. J Neurosurg. 2014;120(6):1378-1384."},{"key":"bib3","series-title":"World Neurosurg","first-page":"e944","article-title":"Predictive factors of poor prognosis after surgical management of traumatic acute subdural hematomas: a single-center series","volume":"126","author":"Baucher","year":"2019","unstructured":"Baucher GTroude LPauly VBernard FZieleskiewicz LRoche PH.Predictive factors of poor prognosis after surgical management of traumatic acute subdural hematomas: a single-center series. World Neurosurg. 2019;126:e944-e952."},{"issue":"1","key":"bib4","series-title":"Neurocrit Care","first-page":"6","article-title":"Guideline for reversal of antithrombotics in intracranial hemorrhage: a statement for healthcare professionals from the Neurocritical Care Society and Society of Critical Care Medicine","volume":"24","author":"Frontera","year":"2016","unstructured":"Frontera JALewin JJIIIRabinstein AAGuideline for reversal of antithrombotics in intracranial hemorrhage: a statement for healthcare professionals from the Neurocritical Care Society and Society of Critical Care Medicine. Neurocrit Care. 2016;24(1):6-46."},{"key":"bib5","series-title":"J Forensic Leg Med","first-page":"102283","article-title":"Subdural and epidural hematoma occurrence in relation to the head impact site: an autopsy study","volume":"85","author":"Evaggelakos","year":"2022","unstructured":"Evaggelakos CIAlexandri MTsellou MDona ASpiliopoulou CAPapadodima SA.Subdural and epidural hematoma occurrence in relation to the head impact site: an autopsy study. J Forensic Leg Med. 2022;85:102283."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"77","article-title":"A comprehensive systematic review and meta-analysis study in comparing decompressive craniectomy versus craniotomy in patients with acute subdural hematoma","volume":"47","author":"Habibi","year":"2024","unstructured":"Habibi MAKobets AJBoskabadi ARA comprehensive systematic review and meta-analysis study in comparing decompressive craniectomy versus craniotomy in patients with acute subdural hematoma. Neurosurg Rev. 2024;47(1):77."},{"issue":"25","key":"bib7","series-title":"N Engl J Med","first-page":"1511","article-title":"Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours","volume":"304","author":"Seelig","year":"1981","unstructured":"Seelig JMBecker DPMiller JDGreenberg RPWard JDChoi SC.Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N Engl J Med. 1981;304(25):1511-1518."},{"issue":"2","key":"bib8","series-title":"J Neurosurg","first-page":"212","article-title":"Acute subdural hematoma: morbidity, mortality, and operative timing","volume":"74","author":"Wilberger","year":"1991","unstructured":"Wilberger JEJrHarris MDiamond DL.Acute subdural hematoma: morbidity, mortality, and operative timing. J Neurosurg. 1991;74(2):212-218."},{"issue":"11","key":"bib9","series-title":"Acta Neurochir (Wien)","first-page":"3181","article-title":"How I do it: simplified craniotomy for acute subdural hematoma in the elderly","volume":"165","author":"Beucler","year":"2023","unstructured":"Beucler NBonnet JDagain A.How I do it: simplified craniotomy for acute subdural hematoma in the elderly. Acta Neurochir (Wien). 2023;165(11):3181-3185."},{"issue":"3","key":"bib10","series-title":"J Neurosci Rural Pract","first-page":"537","article-title":"Spontaneous acute subdural hematoma: beware of the aneurysm","volume":"10","author":"Beucler","year":"2019","unstructured":"Beucler NHaikal CHibbert DSpontaneous acute subdural hematoma: beware of the aneurysm. J Neurosci Rural Pract. 2019;10(3):537-541."},{"issue":"2","key":"bib11","series-title":"Turk Neurosurg","first-page":"317","article-title":"Skull base fracture involving the foramen spinosum\u2014an indirect sign of middle meningeal artery lesion: case report and literature review","volume":"25","author":"Aguiar","year":"2015","unstructured":"Aguiar GSilva JSouza RAcioly MA.Skull base fracture involving the foramen spinosum\u2014an indirect sign of middle meningeal artery lesion: case report and literature review. Turk Neurosurg. 2015;25(2):317-319."},{"issue":"2","key":"bib12","series-title":"Korean J Neurotrauma","first-page":"167","article-title":"Intraoperative endovascular embolization of middle meningeal artery and a pseudoaneurysm by using N-butyl 2-cyanoacrylate for hemostasis during operation of acute epidural hemorrhage","volume":"11","author":"Kim","year":"2015","unstructured":"Kim DHLee JYJeon HJCho BMPark SHOh SM.Intraoperative endovascular embolization of middle meningeal artery and a pseudoaneurysm by using N-butyl 2-cyanoacrylate for hemostasis during operation of acute epidural hemorrhage. Korean J Neurotrauma. 2015;11(2):167-169."},{"key":"bib13","series-title":"Am J Case Rep","first-page":"e926852","article-title":"Delayed spontaneous resolution of a traumatic middle meningeal artery pseudoaneurysm","volume":"22","author":"Atiles","year":"2021","unstructured":"Atiles JLMarrero-Gonz\u00e1lez APLabat EJ.Delayed spontaneous resolution of a traumatic middle meningeal artery pseudoaneurysm. Am J Case Rep. 2021;22:e926852."},{"issue":"3","key":"bib14","series-title":"Neuroimaging Clin N Am","first-page":"439","article-title":"Skull base fractures and their complications","volume":"24","author":"Baugnon","year":"2014","unstructured":"Baugnon KLHudgins PA.Skull base fractures and their complications. Neuroimaging Clin N Am. 2014;24(3):439-viii."},{"issue":"5","key":"bib15","series-title":"J Trauma","first-page":"1014","article-title":"Traumatic carotid cavernous fistula accompanying basilar skull fracture: a study on the incidence of traumatic carotid cavernous fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula","volume":"63","author":"Liang","year":"2007","unstructured":"Liang WXiaofeng YWeiguo LWusi QGang SXuesheng Z.Traumatic carotid cavernous fistula accompanying basilar skull fracture: a study on the incidence of traumatic carotid cavernous fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula. J Trauma. 2007;63(5):1014-1020."},{"issue":"12","key":"bib16","series-title":"J Oral Maxillofac Surg","first-page":"2092","article-title":"Blunt-mechanism facial fracture patterns associated with internal carotid artery injuries: recommendations for additional screening criteria based on analysis of 4,398 patients","volume":"71","author":"Mundinger","year":"2013","unstructured":"Mundinger GSDorafshar AHGilson MMMithani SKManson PNRodriguez ED.Blunt-mechanism facial fracture patterns associated with internal carotid artery injuries: recommendations for additional screening criteria based on analysis of 4,398 patients. J Oral Maxillofac Surg. 2013;71(12):2092-2100."},{"issue":"4","key":"bib17","series-title":"Neurosurg Rev","first-page":"397","article-title":"The foramen spinosum: a landmark in middle fossa surgery","volume":"31","author":"Krayenb\u00fchl","year":"2008","unstructured":"Krayenb\u00fchl NIsolan GRAl-Mefty O.The foramen spinosum: a landmark in middle fossa surgery. Neurosurg Rev. 2008;31(4):397-401."},{"issue":"5","key":"bib18","series-title":"J Neurosurg","first-page":"1561","article-title":"Key anatomical landmarks for middle fossa surgery: a surgical anatomy study","volume":"131","author":"Peris-Celda","year":"2019","unstructured":"Peris-Celda MPerry ACarlstrom LPGraffeo CSDriscoll CLWLink MJ.Key anatomical landmarks for middle fossa surgery: a surgical anatomy study. J Neurosurg. 2019;131(5):1561-1570."},{"issue":"4","key":"bib19","series-title":"J Craniofac Surg","first-page":"1157","article-title":"A new bony anatomical landmark for lateral skull base surgery","volume":"31","author":"Liu","year":"2020","unstructured":"Liu ZYi Z.A new bony anatomical landmark for lateral skull base surgery. J Craniofac Surg. 2020;31(4):1157-1160."},{"key":"bib20","series-title":"World Neurosurg","first-page":"102","article-title":"The Mayfield skull clamp: a literature review of its complications and technical nuances for application","volume":"151","author":"Thijs","year":"2021","unstructured":"Thijs DMenovsky T.The Mayfield skull clamp: a literature review of its complications and technical nuances for application. World Neurosurg. 2021;151:102-109."},{"issue":"24","key":"bib1","series-title":"N Engl J Med","first-page":"2219","article-title":"Decompressive craniectomy versus craniotomy for acute subdural hematoma","volume":"388","author":"Hutchinson","year":"2023","unstructured":"Hutchinson PJAdams HMohan MDecompressive craniectomy versus craniotomy for acute subdural hematoma. N Engl J Med. 2023;388(24):2219-2229."},{"issue":"6","key":"bib2","series-title":"J Neurosurg","first-page":"1378","article-title":"Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth","volume":"120","author":"Miller","year":"2014","unstructured":"Miller JDNader R.Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth. J Neurosurg. 2014;120(6):1378-1384."},{"key":"bib3","series-title":"World Neurosurg","first-page":"e944","article-title":"Predictive factors of poor prognosis after surgical management of traumatic acute subdural hematomas: a single-center series","volume":"126","author":"Baucher","year":"2019","unstructured":"Baucher GTroude LPauly VBernard FZieleskiewicz LRoche PH.Predictive factors of poor prognosis after surgical management of traumatic acute subdural hematomas: a single-center series. World Neurosurg. 2019;126:e944-e952."},{"issue":"1","key":"bib4","series-title":"Neurocrit Care","first-page":"6","article-title":"Guideline for reversal of antithrombotics in intracranial hemorrhage: a statement for healthcare professionals from the Neurocritical Care Society and Society of Critical Care Medicine","volume":"24","author":"Frontera","year":"2016","unstructured":"Frontera JALewin JJIIIRabinstein AAGuideline for reversal of antithrombotics in intracranial hemorrhage: a statement for healthcare professionals from the Neurocritical Care Society and Society of Critical Care Medicine. Neurocrit Care. 2016;24(1):6-46."},{"key":"bib5","series-title":"J Forensic Leg Med","first-page":"102283","article-title":"Subdural and epidural hematoma occurrence in relation to the head impact site: an autopsy study","volume":"85","author":"Evaggelakos","year":"2022","unstructured":"Evaggelakos CIAlexandri MTsellou MDona ASpiliopoulou CAPapadodima SA.Subdural and epidural hematoma occurrence in relation to the head impact site: an autopsy study. J Forensic Leg Med. 2022;85:102283."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"77","article-title":"A comprehensive systematic review and meta-analysis study in comparing decompressive craniectomy versus craniotomy in patients with acute subdural hematoma","volume":"47","author":"Habibi","year":"2024","unstructured":"Habibi MAKobets AJBoskabadi ARA comprehensive systematic review and meta-analysis study in comparing decompressive craniectomy versus craniotomy in patients with acute subdural hematoma. Neurosurg Rev. 2024;47(1):77."},{"issue":"25","key":"bib7","series-title":"N Engl J Med","first-page":"1511","article-title":"Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours","volume":"304","author":"Seelig","year":"1981","unstructured":"Seelig JMBecker DPMiller JDGreenberg RPWard JDChoi SC.Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N Engl J Med. 1981;304(25):1511-1518."},{"issue":"2","key":"bib8","series-title":"J Neurosurg","first-page":"212","article-title":"Acute subdural hematoma: morbidity, mortality, and operative timing","volume":"74","author":"Wilberger","year":"1991","unstructured":"Wilberger JEJrHarris MDiamond DL.Acute subdural hematoma: morbidity, mortality, and operative timing. J Neurosurg. 1991;74(2):212-218."},{"issue":"11","key":"bib9","series-title":"Acta Neurochir (Wien)","first-page":"3181","article-title":"How I do it: simplified craniotomy for acute subdural hematoma in the elderly","volume":"165","author":"Beucler","year":"2023","unstructured":"Beucler NBonnet JDagain A.How I do it: simplified craniotomy for acute subdural hematoma in the elderly. Acta Neurochir (Wien). 2023;165(11):3181-3185."},{"issue":"3","key":"bib10","series-title":"J Neurosci Rural Pract","first-page":"537","article-title":"Spontaneous acute subdural hematoma: beware of the aneurysm","volume":"10","author":"Beucler","year":"2019","unstructured":"Beucler NHaikal CHibbert DSpontaneous acute subdural hematoma: beware of the aneurysm. J Neurosci Rural Pract. 2019;10(3):537-541."},{"issue":"2","key":"bib11","series-title":"Turk Neurosurg","first-page":"317","article-title":"Skull base fracture involving the foramen spinosum\u2014an indirect sign of middle meningeal artery lesion: case report and literature review","volume":"25","author":"Aguiar","year":"2015","unstructured":"Aguiar GSilva JSouza RAcioly MA.Skull base fracture involving the foramen spinosum\u2014an indirect sign of middle meningeal artery lesion: case report and literature review. Turk Neurosurg. 2015;25(2):317-319."},{"issue":"2","key":"bib12","series-title":"Korean J Neurotrauma","first-page":"167","article-title":"Intraoperative endovascular embolization of middle meningeal artery and a pseudoaneurysm by using N-butyl 2-cyanoacrylate for hemostasis during operation of acute epidural hemorrhage","volume":"11","author":"Kim","year":"2015","unstructured":"Kim DHLee JYJeon HJCho BMPark SHOh SM.Intraoperative endovascular embolization of middle meningeal artery and a pseudoaneurysm by using N-butyl 2-cyanoacrylate for hemostasis during operation of acute epidural hemorrhage. Korean J Neurotrauma. 2015;11(2):167-169."},{"key":"bib13","series-title":"Am J Case Rep","first-page":"e926852","article-title":"Delayed spontaneous resolution of a traumatic middle meningeal artery pseudoaneurysm","volume":"22","author":"Atiles","year":"2021","unstructured":"Atiles JLMarrero-Gonz\u00e1lez APLabat EJ.Delayed spontaneous resolution of a traumatic middle meningeal artery pseudoaneurysm. Am J Case Rep. 2021;22:e926852."},{"issue":"3","key":"bib14","series-title":"Neuroimaging Clin N Am","first-page":"439","article-title":"Skull base fractures and their complications","volume":"24","author":"Baugnon","year":"2014","unstructured":"Baugnon KLHudgins PA.Skull base fractures and their complications. Neuroimaging Clin N Am. 2014;24(3):439-viii."},{"issue":"5","key":"bib15","series-title":"J Trauma","first-page":"1014","article-title":"Traumatic carotid cavernous fistula accompanying basilar skull fracture: a study on the incidence of traumatic carotid cavernous fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula","volume":"63","author":"Liang","year":"2007","unstructured":"Liang WXiaofeng YWeiguo LWusi QGang SXuesheng Z.Traumatic carotid cavernous fistula accompanying basilar skull fracture: a study on the incidence of traumatic carotid cavernous fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula. J Trauma. 2007;63(5):1014-1020."},{"issue":"12","key":"bib16","series-title":"J Oral Maxillofac Surg","first-page":"2092","article-title":"Blunt-mechanism facial fracture patterns associated with internal carotid artery injuries: recommendations for additional screening criteria based on analysis of 4,398 patients","volume":"71","author":"Mundinger","year":"2013","unstructured":"Mundinger GSDorafshar AHGilson MMMithani SKManson PNRodriguez ED.Blunt-mechanism facial fracture patterns associated with internal carotid artery injuries: recommendations for additional screening criteria based on analysis of 4,398 patients. J Oral Maxillofac Surg. 2013;71(12):2092-2100."},{"issue":"4","key":"bib17","series-title":"Neurosurg Rev","first-page":"397","article-title":"The foramen spinosum: a landmark in middle fossa surgery","volume":"31","author":"Krayenb\u00fchl","year":"2008","unstructured":"Krayenb\u00fchl NIsolan GRAl-Mefty O.The foramen spinosum: a landmark in middle fossa surgery. Neurosurg Rev. 2008;31(4):397-401."},{"issue":"5","key":"bib18","series-title":"J Neurosurg","first-page":"1561","article-title":"Key anatomical landmarks for middle fossa surgery: a surgical anatomy study","volume":"131","author":"Peris-Celda","year":"2019","unstructured":"Peris-Celda MPerry ACarlstrom LPGraffeo CSDriscoll CLWLink MJ.Key anatomical landmarks for middle fossa surgery: a surgical anatomy study. J Neurosurg. 2019;131(5):1561-1570."},{"issue":"4","key":"bib19","series-title":"J Craniofac Surg","first-page":"1157","article-title":"A new bony anatomical landmark for lateral skull base surgery","volume":"31","author":"Liu","year":"2020","unstructured":"Liu ZYi Z.A new bony anatomical landmark for lateral skull base surgery. J Craniofac Surg. 2020;31(4):1157-1160."},{"key":"bib20","series-title":"World Neurosurg","first-page":"102","article-title":"The Mayfield skull clamp: a literature review of its complications and technical nuances for application","volume":"151","author":"Thijs","year":"2021","unstructured":"Thijs DMenovsky T.The Mayfield skull clamp: a literature review of its complications and technical nuances for application. 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