Usefulness of Middle Meningeal Embolization to Prevent Recurrent Spontaneous Chronic Subdural Hemorrhage
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 40-46, 2018.
Article
in English
| WPRIM
| ID: wpr-713248
ABSTRACT
Spontaneous chronic subdural hematoma (SDH) is a rare condition that could develop in association with hematologic disease. A 66-year-old male developed a chronic SDH as an initial manifestation of chronic myelomonocytic leukemia (CMML). He experienced recurrent chronic subdural hemorrhage and newly developed intracerebral hemorrhage. Considering the scheduled long-term chemotherapy, bilateral middle meningeal artery (MMA) embolization was performed to prevent recurrence of subdural hemorrhage. Although pancytopenia occurred during the 7 months' follow-up period, residual chronic subdural hemorrhage was absorbed without recurrence. To our best knowledge, this is the first report of CMML with spontaneous chronic SDH. MMA embolization is potentially a useful and safe treatment option in the challenging clinical situations with underlying pathologies.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancytopenia
/
Pathology
/
Recurrence
/
Leukemia, Myelomonocytic, Chronic
/
Leukemia
/
Cerebral Hemorrhage
/
Follow-Up Studies
/
Hematoma, Subdural, Chronic
/
Drug Therapy
/
Hematologic Diseases
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2018
Type:
Article
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