Middle meningeal artery embolization for the management of chronic subdural hematoma

David Fiorella1,2, Adam S Arthur3

  • 1Department of Neurosurgery, Stony Brook University, Stony Brook, New York, USA.

Insights

Chronic subdural hematoma (cSDH) is a common neurosurgical condition affecting meningeal blood vessels. This review explores minimally invasive endovascular management options for cSDH, alongside its epidemiology, pathophysiology, and conventional treatments.

Area of Science:

  • Neurosurgery
  • Vascular Neurology

Background:

  • Chronic subdural hematoma (cSDH) represents a frequent neurosurgical diagnosis in adult populations.
  • The underlying pathology involves disorders of the meningeal blood vessels.

Purpose of the Study:

  • To review the potential role of neuroendovascular techniques in managing cSDH.
  • To contextualize endovascular management within the broader understanding of cSDH.

Main Methods:

  • Review of existing literature on cSDH.
  • Discussion encompassing epidemiology, pathophysiology, and conventional treatments.
  • Exploration of minimally invasive neuroendovascular approaches.

Main Results:

  • Minimally invasive neuroendovascular management options are available for cSDH.
  • Understanding the disease's epidemiology and pathophysiology is crucial for management.

Conclusions:

  • Endovascular management presents a viable option for cSDH.
  • Further consideration of endovascular approaches is warranted given their minimally invasive nature.

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