Hirai S, Ono J, Odaki M, Serizawa T, Nagano O
Department of Neurosurgery, Chiba Cardiovascular Center, Ichihara; Japan.
Interv Neuroradiol. 2004 Dec 24;10 Suppl 2(Suppl 2):101-4. doi: 10.1177/15910199040100S218. Epub 2008 May 15.
Endovascular embolization of the middle meningeal artery was performed in two cases of refractory chronic subdural haematoma (CSDH) after repeated burr hole and irrigation surgeries. The embolization prevented expansion of the CSDH in both cases, and the haematoma disappeared completely in one case. The expansion of CSDH is considered to result from repeated bleeding from the macrocapillaries on the haematoma capsule. Embolization of the middle meningeal artery appears to be useful to eliminate the blood supply to this structure.
在两例难治性慢性硬膜下血肿（CSDH）患者中，在反复进行钻孔引流手术后，对其脑膜中动脉进行了血管内栓塞治疗。两例患者的栓塞治疗均阻止了CSDH的扩大，其中一例患者的血肿完全消失。CSDH的扩大被认为是由于血肿包膜上的大毛细血管反复出血所致。脑膜中动脉栓塞似乎有助于消除该结构的血供。
