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Middle Meningeal Artery Embolization for Management of Chronic Subdural Hematoma

Naveen Kumar, , Naveen Kumar

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International Journal of Neurology and Neurosurgery 16 (3-4 ):p 71-74, July-December 2024. | DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.163424.5

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Naveen Kumar, Middle Meningeal Artery Embolization for Management of Chronic Subdural Hematoma. Int Jr of Neuro and Neurosry. 2024;16(3-4):71-74.
 


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Abstract

Chronic subdural hematomas (cSDH) are a common neurological condition that can cause significant morbidity in the elderly population. Traditionally, surgical options such as burr hole drainage and craniotomy are employed for treatment; however, a novel and minimally invasive intervention has emerged in recent years: middle meningeal artery (MMA) embolization. This technique offers a promising alternative for patients with recurrent cSDH or those who are not candidates for conventional surgery. MMA embolization targets the vascular supply of the hematoma by selectively embolizing the middle meningeal artery, which contributes to abnormal neovascularization within the hematoma capsule. This approach reduces the blood flow to the hematoma, leading to its stabilization and potential resolution without the need for surgical intervention. We present a case of 63-year-old patient with a recurrent cSDH treated successfully with MMA embolization, highlighting the technique’s effectiveness, safety, and potential for broader application in managing this condition.
 


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Naveen Kumar, Middle Meningeal Artery Embolization for Management of Chronic Subdural Hematoma. Int Jr of Neuro and Neurosry. 2024;16(3-4):71-74.
 


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DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.163424.5

Keywords

Chronic subdural hematomasmiddle meningeal arteryembolizationpolyvinyl alcoholminimally invasive

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