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- Masaki Mino, Shinjitsu Nishimura, Emiko Hori, Misaki Kohama, Shingo Yonezawa, Hiroshi Midorikawa, Mitsuomi Kaimori, Teruhiko Tanaka, and Michiaharu Nishijima.
- Department of Neurosurgery, Aomori Prefectural Central Hospital, 2-1-1 Higashitsukurimichi, Aomori 030-8553, Japan.
- Surg Neurol Int. 2010 Dec 13; 1: 78.
BackgroundThere are no established treatment procedures for repeatedly recurring chronic subdural hematoma (CSH). In this study, we discussed the efficacy of middle meningeal artery (MMA) embolization in preventing recurrence of CSH.MethodsWe performed superselective angiography of MMA in four patients who suffered from repeated recurrence of CSH. After angiography, we performed embolization of MMA with endovascular procedure.ResultsIn all cases, superselective angiography of MMA revealed diffuse abnormal vascular stains that seemed to represent the macrocapillaries in the outer membrane of CSH. In all the patients, there were no recurrences or enlargements of CSH after the embolization of the MMA.ConclusionMMA embolization can be an effective adjuvant procedure in preventing the recurrence of CSH.
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