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Middle meningeal artery embolization for chronic subdural hematoma with high risk of recurrence: A single institution experience.
- Source :
-
Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2020 Oct; Vol. 197, pp. 106097. Date of Electronic Publication: 2020 Jul 17. - Publication Year :
- 2020
-
Abstract
- Background: Middle meningeal artery (MMA) embolization can be a treatment option for selected cases of chronic subdural hematoma (CSDH) patients. However, appropriate timing of this procedure or the conditions to be considered are still not standardized.<br />Methods: Between 2008 and 2018, 18 symptomatic CSDH patients underwent MMA embolization at our institution. The timing of embolization and the risk factors for recurrence of CSDH, the recurrence rate after an embolization, and the complication were thoroughly reviewed.<br />Results: Of the 18 cases, 16 patients were male. The median age at MMA embolization was 78.5 years (range, 66-98 years). The median follow-up period were eight months (range, 2-53 months). Possible risk factors for CSDH recurrence harbored by those patients were age > 74 yrs (10), brain atrophy (4), separated hematoma (3), coagulopathy (3), anticoagulant administration (3), and thrombocytopenia (1). No recurrence or complication was observed in any of the patients after the embolization.<br />Conclusions: MMA embolization is effective and safe in preventing recurrence of CSDH with high risk of recurrence, and could be a standard treatment for such cases.<br /> (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Drainage
Female
Hematoma, Subdural, Chronic diagnostic imaging
Humans
Male
Meningeal Arteries diagnostic imaging
Recurrence
Secondary Prevention
Tomography, X-Ray Computed
Treatment Outcome
Brain diagnostic imaging
Embolization, Therapeutic methods
Hematoma, Subdural, Chronic therapy
Meningeal Arteries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1872-6968
- Volume :
- 197
- Database :
- MEDLINE
- Journal :
- Clinical neurology and neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 32841822
- Full Text :
- https://doi.org/10.1016/j.clineuro.2020.106097