title: [Middle meningeal artery embolization for refractory chronic subdural hematoma: 3 case reports].
abstract: The authors present three cases of refractory chronic subdural hematoma (CSDH) treated by embolization of the middle meningeal artery (MMA) after several unsuccessful drainage procedures. The patients were initially treated by the usual method of burr hole and irrigation of the hematoma. After recurrence, several percutaneous puncture and drainage procedures were unable to prevent re-collection of the hematoma. Then the authors embolized the MMA which was thought to be the feeding artery of the outer membrane of the hematoma cavity. No enlargement of the hematoma was seen after embolization and, gradually, complete resolution of the hematoma was obtained. The outcome of the patients was excellent in all three cases. This new therapeutic approach to recurrent CSDH is discussed.
authors: Department of Neurosurgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu-city, Kagawa 760-0017, Japan.
authors: Kazuya
authors: K
authors: Takahashi
authors: Kenichiro
authors: K
authors: Muraoka
authors: Tomoyuki
authors: T
authors: Sugiura
authors: Yasuhiko
authors: Y
authors: Maeda
authors: Shinya
authors: S
authors: Mandai
authors: Yuji
authors: Y
authors: Gohda
authors: Masamitsu
authors: M
authors: Kawauchi
authors: Yuzo
authors: Y
authors: Matsumoto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004621:Embolization, Therapeutic / Q000379:methods; D020200:Hematoma, Subdural, Chronic / Q000628:therapy*; D006801:Humans; D008297:Male; D008576:Meningeal Arteries; D008875:Middle Aged