Endovascular embolization of the left middle meningеal artery for residual chronic subdural hematoma (clinical case)
https://doi.org/10.17650/1683-3295-2020-22-1-65-70
Abstract
The objective is to describe the case of successful endovascular treatment of residual chronic subdural hematoma.
Clinical case. Patient A., 77 years old, was admitted to the hospital with a directional diagnosis of stroke. During further examination, left hemispheric chronic subdural hematoma with a volume of 100 cm3 was revealed. The patient was twice performed closed external drainage of hematoma. And for each subsequent control computed tomography studies, a residual hematoma with a volume effect on the brain was determined. Endovascular selective embolization of the left middle meningеal artery was performed. During the examination after 5 months, a complete reduction of hematoma, cerebral and focal neurological symptoms was noted.
Conclusion. Endovascular embolization of the middle meningeal artery may be a pathogenetically substantiated, minimally invasive alternative to repeated surgical interventions for residual and recurrent chronic subdural hematoma. It will be reasonable to continue research to assess the effectiveness and safety of the methodology.
About the Authors
D. L. Paskhin
Moscow City Clinical Hospital n. a. V. M. Buyanov, Moscow Healthcare Department
Russian Federation
26 Bakinskaya St., Moscow 115516
Russian Federation
26 Bakinskaya St., Moscow 115516
V. V. Pak
Moscow City Clinical Hospital n. a. V. M. Buyanov, Moscow Healthcare Department
Russian Federation
26 Bakinskaya St., Moscow 115516
Russian Federation
26 Bakinskaya St., Moscow 115516
A. B. Mironkov
Moscow City Clinical Hospital n. a. V. M. Buyanov, Moscow Healthcare Department
Russian Federation
26 Bakinskaya St., Moscow 115516
Russian Federation
26 Bakinskaya St., Moscow 115516
S. А. Asratyan
Moscow City Clinical Hospital n. a. V. M. Buyanov, Moscow Healthcare Department
Russian Federation
26 Bakinskaya St., Moscow 115516
Russian Federation
26 Bakinskaya St., Moscow 115516
S. N. Shurygin
Moscow City Clinical Hospital n. a. V. M. Buyanov, Moscow Healthcare Department
Russian Federation
26 Bakinskaya St., Moscow 115516
Russian Federation
26 Bakinskaya St., Moscow 115516
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Review
For citations:
Paskhin D.L., Pak V.V., Mironkov A.B., Asratyan S.А., Shurygin S.N. Endovascular embolization of the left middle meningеal artery for residual chronic subdural hematoma (clinical case). Russian journal of neurosurgery. 2020;22(1):65-70. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-1-65-70
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