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A & B. Non-contrast head CT, showing right temporal epidural hemorrhage. C & D. Bone window showing fracture of the right temporal bone. [Powerpoint Slide]
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Computed tomography (CT) scan showed multiple facial, orbital and skull based fractures, 2 cm right temporal epidural hemorrhage, right subarachnoid hemorrhage, and multiple right hemispheric brain contusions (Figure 1).
Conventional angiogram showing a 1.5 cm pseudoaneurysm of the anterior division of the right middle meningeal artery. [Powerpoint Slide]
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A repeat angiogram showed a pseudoaneurysm of the right facial artery as well as a 1.5 cm pseudoaneurysm of the anterior division of the right MMA (Figure 2a). The Boston Scientific Tracker Microcatheter and Boston Scientific 5 mm fibered coils- a total of 8 coils were used to embolize pseudoaneurysms of both the right facial and MMA (Figure 2b). Coils in both branches were designed to prevent retrograde filling of the aneurysm, which was not observed on the post embolization angiogram (Figure 2c).