case_images: PMC4722520_01
case_images: Preoperative computed tomography, axial view, showing left-sided temporal intracerebral hemorrhage, right subdural hematoma
case_images: SNI-7-23-g001.jpg
case_images: PMC4722520_01_SNI-7-23-g001.jpg
case_images: F1
case_images: IPH measuring 8 cm by 2 cm by 1.5 cm [Figure 1]. In addition, there was a left-sided temporal bone fracture.
case_images: Preoperative computed tomography angiogram, coronal reconstruction, demonstrating a left temporal skull fracture (a and b) with a left middle meningeal artery pseudoaneurysm (a, arrow)
case_images: SNI-7-23-g002.jpg
case_images: PMC4722520_01_SNI-7-23-g002.jpg
case_images: F2
case_images: The CTA demonstrated some dilatation of the left MMA suspicious for a pseudoaneurysm near the fracture site [Figure 2].
case_images: Cerebral angiogram, lateral view of external carotid artery injection, showing left middle meningeal artery pseudoaneurysm with an irregular neck (arrow)
case_images: SNI-7-23-g003.jpg
case_images: PMC4722520_01_SNI-7-23-g003.jpg
case_images: F3
case_images: A six-vessel cerebral angiogram was performed on the postoperative day 1 [Figure 3], which confirmed the presence of a traumatic pseudoaneurysm of the left MMA, which was treated with Onyx  embolization.
case_images: Three-month postembolization angiogram demonstrating complete obliteration of the pseudoaneurysm and middle meningeal artery both in a lateral view (a) and an anterior-posterior view (b)
case_images: SNI-7-23-g004.jpg
case_images: PMC4722520_01_SNI-7-23-g004.jpg
case_images: F4
case_images: The patient had an uncomplicated cranioplasty at 3 months, and an angiogram confirmed obliteration of the left MMA [Figure 4], without recurrence of her pseudoaneurysm at 3 months.