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SKIMS, Department of Neurosurgery, Kashmir, India DOI : 10.5137/1019-5149.JTN.3165-10.1 Traumatic pseudoaneurysm of the middle meningeal artery is rare and is associated with high mortality. Skull fracture is usually an associated feature of this entity. An elderly male was brought to our hospital in a stage of coma. The details of ictus were not known. The Glasgow coma scale score was 9/15. Examination revealed a pseudo-aneurysm arising from the posterior branch of the left middle meningeal artery which was excised. The case is presented for its rarity and its characteristic radiology. Traumatic pseudoaneurysm of middle meningeal artery is rare. It is important to recognize this treatable entity. Keywords : Skull fracture, Extradural hematoma, Pseudoaneurysm, Middle meningeal artery