Middle meningeal artery embolizationto treat progressive epidural hematoma:a case report
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 20-25, 2020.
Article
| WPRIM
| ID: wpr-835649
ABSTRACT
Progressive epidural hematoma is a form of acute epidural hematoma that graduallyexpands from a small initial hematoma; in cases that are clinically aggravated dueto the presence of a mental illness or neurological condition, patients should be surgicallytreated for evacuation of the hematoma, but poorer outcomes are expected ifthe patient has several medical co-morbidities for surgery. We experienced two casesof progressive epidural hematoma which were successfully managed by endovasculartreatment an 85-year-old male with medical co-morbidities and a 51-year-oldfemale with a poor-grade subarachnoid hemorrhage resulting from the rupture of adissecting aneurysm of the vertebral artery. In both cases, a middle meningeal arteryembolization was performed and contrast leakage was observed and controlled usingcerebral angiography, halting the progression of their epidural hematomas. Thus,endovascular embolization of a middle meningeal artery may play a useful role in salvagetherapy in certain complicated situations that limit treatment of the hematomaby surgical evacuation.
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WPRIM (Western Pacific)
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2020
Type:
Article
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