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CC BY 4.0 · Arq Neuropsiquiatr 2024; 82(04): s00441786023
DOI: 10.1055/s-0044-1786023
Images in Neurology

Middle meningeal artery embolization contraindication when it originates from the ophthalmic artery

Contraindicação de embolização da artéria meníngea média quando ela se origina da artéria oftálmica
Lívio Pereira de Macêdo 
1   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brazil.
2   Hospital da Restauração, Departamento de Neurorradiologia Intervencionista, Recife PE, Brazil.
3   ANGIORAD, Departamento de Radiologia Neurointervencionista, Recife PE, Brazil.
,
Mayle Gomes Ferreira de Araújo 
1   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brazil.
,
Pedro Lucas Negromonte Guerra 
4   Universidade Federal de Pernambuco, Recife PE, Brazil.
,
Marcos Alcino Soares Siqueira Marques  Júnior
1   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brazil.
2   Hospital da Restauração, Departamento de Neurorradiologia Intervencionista, Recife PE, Brazil.
,
José Laércio Júnior Silva 
1   Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brazil.
2   Hospital da Restauração, Departamento de Neurorradiologia Intervencionista, Recife PE, Brazil.
3   ANGIORAD, Departamento de Radiologia Neurointervencionista, Recife PE, Brazil.
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It aims to highlight the importance of anatomical variations of the (MMA) middle meningeal artery's origin in practice for neurointerventionalist. Before proceeding with embolization of the MMA in some pathologies, a critical analysis of the anatomy of these vessels should be done. When MMA originates from the ophthalmic artery, it is a formal contraindication to proceed with the embolization.[1] [2] Otherwise, major complications is embolization of the central retinal artery results in blindness.[3]

A patient with recurrent chronic subdural hematoma and thrombocytopenia was referred to embolization of the MMA. Angiogram shows MMA originates in the OA, and the procedure was inadvisable ([Figures 1] and [2]).

Zoom Image
Figure 1 Lateral view of a cerebral angiogram showing a right subdural hematoma and the right middle meningeal artery originates from the ophthalmic artery.
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Figure 2 Anteroposterior view of a cerebral angiogram showing a right subdural hematoma and the right middle meningeal artery originates from the ophthalmic artery.

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Conflict of Interest

There is no conflict of interest to declare.

Authors' Contributions

LPM: conceptualization, supervision, validation, visualization, writing – original draft, writing – review & editing; MGFA: data curation, writing – original draft; PLNG: writing – original draft, writing – review & editing; MASMJ: conceptualization, writing – original draft, writing – review & editing; JLJS: conceptualization, supervision, writing – review & editing.



Address for correspondence

Lívio Pereira de Macêdo

Publication History

Received: 27 January 2024

Accepted: 22 February 2024

Article published online:
19 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Lívio Pereira de Macêdo, Mayle Gomes Ferreira de Araújo, Pedro Lucas Negromonte Guerra, Marcos Alcino Soares Siqueira Marques, José Laércio Júnior Silva. Middle meningeal artery embolization contraindication when it originates from the ophthalmic artery. Arq Neuropsiquiatr 2024; 82: s00441786023.
DOI: 10.1055/s-0044-1786023

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Zoom Image
Figure 1 Lateral view of a cerebral angiogram showing a right subdural hematoma and the right middle meningeal artery originates from the ophthalmic artery.
Zoom Image
Figure 2 Anteroposterior view of a cerebral angiogram showing a right subdural hematoma and the right middle meningeal artery originates from the ophthalmic artery.