Middle Meningeal Artery Embolization for Chronic Subdural Hematoma Related to Autosomal Dominant Polycystic Kidney Disease

Hayes B Fountain; Bernardo A de Monaco; Jonathan Jagid; Ronald Benveniste; Joacir G Cordeiro

doi:10.7759/cureus.34970

Middle Meningeal Artery Embolization for Chronic Subdural Hematoma Related to Autosomal Dominant Polycystic Kidney Disease

Cureus. 2023 Feb 14;15(2):e34970. doi: 10.7759/cureus.34970. eCollection 2023 Feb.

Authors

Hayes B Fountain¹, Bernardo A de Monaco^{1

2}, Jonathan Jagid¹, Ronald Benveniste¹, Joacir G Cordeiro¹

Affiliations

¹ Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, USA.
² Neurosurgery, University of Sao Paulo, Sao Paulo, BRA.

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is a connective tissue disease with vascular abnormalities involving multiple organs. The prevalence of ADPKD associated with a spontaneous subdural hematoma (SDH) is very low, with less than 10 cases reported in the literature to date. Symptomatic chronic SDH is classically treated with a twist drill, burr holes, or craniotomy. Recently, middle meningeal artery (MMA) embolization has emerged as an ancillary modality. We present the first case in the literature of a bilateral SDH in a young ADPKD patient successfully managed with MMA embolization. Moreover, we discuss the role of different treatment modalities on this subset of patients.

Keywords: adpkd; autosomal dominant polycystic kidney disease; bilateral subdural hematoma; chronic subdural hematoma; embolization; middle meningeal artery; mma; neurosurgery; sdh.

Publication types

Case Reports