脑膜中动脉栓塞术治疗难治性慢性硬膜下血肿的疗效
Efficacy of middle meningeal artery embolization in the treatment of refractory chronic subdural hematoma.
作者信息
Mino Masaki, Nishimura Shinjitsu, Hori Emiko, Kohama Misaki, Yonezawa Shingo, Midorikawa Hiroshi, Kaimori Mitsuomi, Tanaka Teruhiko, Nishijima Michiaharu
机构信息
Department of Neurosurgery, Aomori Prefectural Central Hospital, 2-1-1 Higashitsukurimichi, Aomori 030-8553, Japan.
出版信息
Surg Neurol Int. 2010 Dec 13;1:78. doi: 10.4103/2152-7806.73801.
BACKGROUND
There are no established treatment procedures for repeatedly recurring chronic subdural hematoma (CSH). In this study, we discussed the efficacy of middle meningeal artery (MMA) embolization in preventing recurrence of CSH.
METHODS
We performed superselective angiography of MMA in four patients who suffered from repeated recurrence of CSH. After angiography, we performed embolization of MMA with endovascular procedure.
RESULTS
In all cases, superselective angiography of MMA revealed diffuse abnormal vascular stains that seemed to represent the macrocapillaries in the outer membrane of CSH. In all the patients, there were no recurrences or enlargements of CSH after the embolization of the MMA.
CONCLUSION
MMA embolization can be an effective adjuvant procedure in preventing the recurrence of CSH.
背景
对于反复复发的慢性硬膜下血肿（CSH），尚无既定的治疗程序。在本研究中，我们探讨了脑膜中动脉（MMA）栓塞术在预防CSH复发方面的疗效。
方法
我们对4例CSH反复复发的患者进行了MMA超选择性血管造影。血管造影后，我们采用血管内介入方法对MMA进行栓塞。
结果
在所有病例中，MMA超选择性血管造影均显示弥漫性异常血管染色，似乎代表CSH外膜中的大毛细血管。所有患者在MMA栓塞术后均未出现CSH复发或增大。
结论
MMA栓塞术可能是预防CSH复发的一种有效辅助方法。
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