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Updated: Oct 25, 2025
09:01
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Traumatic epidural hematoma treated with endovascular coil embolization
Michael T Madison1, Patrick C Graupman2, Jason M Carroll1
1Midwest Radiology, Saint Paul, Minnesota, United States.
Surgical Neurology International
|August 4, 2021
Summary
Endovascular embolization of the middle meningeal artery (MMA) offers a potential treatment for acute epidural hematoma (EDH) in select patients. This minimally invasive approach may be an alternative when surgical evacuation is not indicated.
Area of Science:
- Neurology
- Neurosurgery
- Interventional Radiology
Background:
- Traumatic cerebrovascular injury can cause epidural hematoma (EDH) due to middle meningeal artery (MMA) laceration.
- EDH is a life-threatening emergency requiring prompt management.
- Treatment decisions for EDH involve clinical and imaging factors, ranging from surgery to conservative care.
Observation:
- A 14-year-old male sustained traumatic subarachnoid hemorrhage and right frontotemporal EDH after a bicycle fall.
- The patient did not meet surgical evacuation criteria for the EDH.
- Endovascular embolization of the right MMA was performed.
Findings:
- Rapid resolution of the acute epidural hematoma was observed post-embolization.
- This case supports endovascular embolization as a viable option for specific EDH cases.
- Minimally invasive embolization can be considered for patients with borderline surgical indications.
Implications:
- Endovascular embolization may provide an alternative treatment for acute EDH.
- This technique could be beneficial for carefully selected patients not meeting surgical criteria.
- Further research is warranted to establish the role of endovascular embolization in EDH management.
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