Middle meningeal artery embolizationto treat progressive epidural hematoma:a case report
10.7461/jcen.2020.22.1.20
- Author:
Tae Joon PARK
1
;
Sang Pyung LEE
;
Jinwook BAEK
;
Kyoungsoo RYOU
;
Seong Hwan KIM
Author Information
1. Department of Neurosurgery, Cheju Halla General Hospital, Jeju, Korea
- Publication Type:Case Report
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2020;22(1):20-25
- CountryRepublic of Korea
- Language:English
-
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.
