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

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]