Traumatic Middle Meningeal Artery Pseudoaneurysm Managed With Preoperative Glue Embolization Followed by Decompressive Craniectomy: A Case Report.

Traumatic pseudoaneurysm of the middle meningeal artery (MMA) is a rare but potentially life-threatening condition, typically resulting from a laceration of the arterial wall due to adjacent skull fractures. We report an unusual case of a traumatic MMA pseudoaneurysm presenting with a large intracerebral hemorrhage (ICH) and significant subfalcine herniation that was successfully treated with preoperative glue embolization followed by decompressive craniectomy. This case emphasizes the importance of early vascular evaluation in traumatic ICH and highlights the value of endovascular embolization for achieving hemostatic control prior to surgery.