Kang Jiin, Whang Kum, Hong Soon-Ki, Pyen Jin-Soo, Cho Sung-Min, Kim Jong-Yeon, Kim So-Hyun, Oh Ji-Woong
Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Korean J Neurotrauma. 2015 Oct;11(2):187-90. doi: 10.13004/kjnt.2015.11.2.187. Epub 2015 Oct 31.
Chronic subdural hematoma (CSDH) is a collection of old blood and its breakdown products between the surface of the brain parenchyma and the outermost layer called the dura. The most common treatment option for primary CSDH is burr-hole trephination; however, the treatment method for recurrent CSDH is still widely debated. An arachnoid cyst (AC) is a sac filled with cerebrospinal fluid located between the brain or spinal cord and the arachnoid membrane, which is one of the three meninges covering the brain or spinal cord. Although it is rare, the cyst is associated with CSDH in juveniles, and the recurrence rate of CSDH increases in such cases. Much of the literature has supported the preventive role of middle meningeal artery (MMA) embolization in recurrent CSDH. We report a 13-year-old male patient with recurrent CSDH and AC where the early intervention of MMA embolization was proven effective in preventing the further recurrence of CSDH.
慢性硬膜下血肿（CSDH）是脑实质表面与最外层硬脑膜之间陈旧性血液及其分解产物的积聚。原发性CSDH最常见的治疗选择是钻孔引流术；然而，复发性CSDH的治疗方法仍存在广泛争议。蛛网膜囊肿（AC）是位于脑或脊髓与蛛网膜之间充满脑脊液的囊，蛛网膜是覆盖脑或脊髓的三层脑膜之一。虽然罕见，但该囊肿在青少年中与CSDH相关，且此类情况下CSDH的复发率会增加。许多文献支持脑膜中动脉（MMA）栓塞在复发性CSDH中的预防作用。我们报告了一名13岁男性复发性CSDH和AC患者，其中MMA栓塞的早期干预被证明可有效预防CSDH的进一步复发。
