[Middle meningeal artery embolization for refractory chronic subdural hematoma: 3 case reports]

No Shinkei Geka. 2002 May;30(5):535-9.
[Article in Japanese]


The authors present three cases of refractory chronic subdural hematoma (CSDH) treated by embolization of the middle meningeal artery (MMA) after several unsuccessful drainage procedures. The patients were initially treated by the usual method of burr hole and irrigation of the hematoma. After recurrence, several percutaneous puncture and drainage procedures were unable to prevent re-collection of the hematoma. Then the authors embolized the MMA which was thought to be the feeding artery of the outer membrane of the hematoma cavity. No enlargement of the hematoma was seen after embolization and, gradually, complete resolution of the hematoma was obtained. The outcome of the patients was excellent in all three cases. This new therapeutic approach to recurrent CSDH is discussed.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Aged, 80 and over
  • Embolization, Therapeutic* / methods
  • Hematoma, Subdural, Chronic / therapy*
  • Humans
  • Male
  • Meningeal Arteries
  • Middle Aged