Turkish Neurosurgery 2015 , Vol 25 , Num 2
Skull Base Fracture Involving the Foramen Spinosum – an Indirect Sign of Middle Meningeal Artery Lesion: Case Report and Literature Review
Guilherme Brasileiro de AGUIAR1, Joo Miguel de ALMEIDA SILVA1, Rodrigo Becco de SOUZA1, Marcus Andr ACIOLY2
1Santa Marcelina de Itaquaquecetuba Hospital, Division of Neurosurgery, So Paulo, Brazil
2State University of Rio de Janeiro, Department of Surgical Specialties, Division of Neurosurgery and Andara Federal Hospital, Division of Neurosurgery, Rio de Janeiro, Brazil
DOI : 10.5137/1019-5149.JTN.7875-13.1 Skull base fractures comprise a relatively common finding among trauma patients. Before the widespread use of computed tomography (CT), these lesions used to be misdiagnosed. Currently, with improved imaging technology, diagnosis of skull base fractures is no longer cumbersome. On the other hand, cranial fractures involving the foramen spinosum are rarely described in the literature. In this present article, we report on a patient affected by head trauma, who suffered from a vault fracture towards the foramen spinosum and acute epidural hematoma (EH) due to middle meningeal artery injury. We further discuss the clinical consequences of foramen spinosum fracture. Keywords : Cranial epidural hematoma, Foramen spinosum, Middle meningeal artery, Skull base, Skull fracture
Corresponding author : Guilherme Brasileiro De Aguar, guilhermebraguiar@yahoo.com.br