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Published on: September 17, 2014
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.
Abstract:
Chronic subdural hematoma (cSDH) is one of the most common neurosurgical diagnoses in adults. The disease is fundamentally a disorder of the meningeal blood vessels, and options exist for the minimally invasive neuroendovascular management. We review the potential role for the endovascular management of cSDH within the context of a discussion of the epidemiology, pathophysiology, and conventional management of this disease.
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