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- Title
Embolization of the Middle Meningeal Artery Effectively Treats Refractory Chronic Subdural Hematoma: A Systematic Review.
- Authors
Gobran, Alfotih; Li, Fang-Cheng; Xu, Xin-Ke; Zhang, Shang-Yi
- Abstract
Chronic subdural hematoma (CSDH) formation mechanism is very complex, and has not entirely understood. It represents a frequent type of intracranial hemorrhage, and is very common disease in Neurosurgery practice, especially in older patients. Various surgical treatments have been proposed for the treatment of CSDH. The rate of recurrence in CSDH after surgery ranges from 5% to 30%, repeated surgery must be considered. But in some cases subdural collections are still persistent. Endovascular embolization of the middle meningeal artery (MMA) is an option for treatment of refractory CSDH. We review all cases that were treated with embolization to assess the effect of this intervention. Our review revealed 6 papers with a total enrollment of 14 patients were treated with MMA embolization for refractory chronic subdural hematoma without any postoperative complication or recurrence. In this study we suggest MMA embolization as an alternative for treatment of non-curable CSDH, especially for old people with systematic diseases, who cannot tolerate repeat surgery.
- Subjects
HEMATOMA; HEMORRHAGE; NEUROSURGERY; SURGERY; MENINGEAL artery; DISEASES in older people
- Publication
Romanian Neurosurgery, 2014, Vol 21, Issue 3, p251
- ISSN
1220-8841
- Publication type
Article
- DOI
10.2478/romneu-2014-0034