Embolization of the middle meningeal artery as a treatment of chronic subdural hematoma – a single-center experience
Authors:
B. Musilová 1; D. Měšťan 2; K. Hes 3; R. Klus 3; P. Mašek 3; J. Sova 3; J. Fiedler 2,4
Authors place of work:
Neurochirurgické oddělení, Krajská nemocnice Liberec, a. s.
1; Neurochirurgické oddělení, Nemocnice České Budějovice, a. s.
2; Radiologické oddělení, Nemocnice České Budějovice, a. s.
3; Neurochirurgická klinika LF MU a FN Brno
4
Published in the journal:
Cesk Slov Neurol N 2025; 88(5): 311-315
Category:
Původní práce
doi:
https://doi.org/10.48095/cccsnn2025311
Summary
Introduction: Chronic subdural hematoma (CSDH) is almost the most frequent neurosurgical diagnosis. In particular, with an aging population and the use of antiplatelet and anticoagulant therapy, these cases are on the rise. Surgical treatment, usually managed by simple burr-hole evacuation is a relatively simple and effective method of treatment. Despite the successful primary surgery, there is an increase in CSDH recurrence. Recently, minimally invasive procedures have become a trend. Endovascular embolization of the middle meningeal artery (MMA) is a relatively new and now in the world frequently used therapeutic modality. Methods: We present a series of patients treated with MMA embolization with or without trepanation. Results: Our cohort includes forty patients with CSDH – recurrent and primary. In 97.5% patients, we achieved complete resolution of CSDH after MMA embolization, one patient was re-hospitalized for another recurrence despite embolization. In three patients, MMA embolization was used as a primary and single treatment for CSDH. Conclusion: MMA embolization can be used as a single or additional treatment for CSDH recurrence. It can also be used in patients who are not suitable candidates for trepanation due to other comorbidities. MMA embolization appears to be a safe and relatively simple management of recurrences of CSDH, when the rules of endovascular treatment are followed.
Keywords:
embolization – chronic subdural hematoma – middle meningeal artery
Zdroje
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Štítky
Dětská neurologie Neurochirurgie NeurologieČlánek vyšel v časopise
Česká a slovenská neurologie a neurochirurgie
2025 Číslo 5
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