Republished: Resolution of an enlarging subdural haematoma after contralateral middle meningeal artery embolisation

Authors

Caleb Rutledge, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Jacob F. Baranoski, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow
Joshua S. Catapano, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow
Ashutosh P. Jadhav, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow
Felipe C. Albuquerque, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow
Andrew F. Ducruet, Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA neuropub@barrowneuro.org.

Document Type

Article

Abstract

A man in his 50s presented 1 month after an automobile accident with worsening headaches and an enlarging chronic left subdural haematoma (SDH). He underwent left middle meningeal artery (MMA) embolisation. Due to tortuosity at its origin, we were unable to catheterise the MMA distally. Only proximal coil occlusion at the origin was performed. Follow-up interval head CT showed an increase in the size of the SDH with new haemorrhage, worsening mass effect and midline shift. However, he remained neurologically intact. Contralateral embolisation of the right MMA was performed with a liquid embolic agent. His headaches improved, and a follow-up head CT 3 months later showed near-complete resolution of the SDH.

Keywords

angiography, liquid embolic material, meninges, subdural, technique

Medical Subject Headings

Male; Humans; Meningeal Arteries (diagnostic imaging); Hematoma, Subdural, Chronic (diagnostic imaging, therapy); Hemorrhage; Carotid Artery, External; Headache; Embolization, Therapeutic (adverse effects)

Publication Date

3-1-2023

Publication Title

Journal of neurointerventional surgery

E-ISSN

1759-8486

Volume

15

Issue

3

First Page

e2

PubMed ID

33986110

Digital Object Identifier (DOI)

10.1136/neurintsurg-2021-017530.rep

Recommended Citation

Rutledge, Caleb; Baranoski, Jacob F.; Catapano, Joshua S.; Jadhav, Ashutosh P.; Albuquerque, Felipe C.; and Ducruet, Andrew F., "Republished: Resolution of an enlarging subdural haematoma after contralateral middle meningeal artery embolisation" (2023). Translational Neuroscience. 2283.
https://scholar.barrowneuro.org/neurobiology/2283