Barros Guilherme, Bonow Robert H, Levitt Michael R
Department of Neurological Surgery, University of Washington, Seattle, USA.
Cureus. 2021 Dec 22;13(12):e20609. doi: 10.7759/cureus.20609. eCollection 2021 Dec.
Middle meningeal artery embolization (MMAE) is an effective initial or adjuvant treatment for chronic subdural hematomas. However, its efficacy in the setting of spontaneous intracranial hypotension has not yet been reported. We present a case of progressive bilateral chronic subdural hematomas secondary to spontaneous intracranial hypotension that failed the initial lumbar epidural blood patch. The patient underwent surgical hematoma evacuation, with adjuvant MMAE and additional epidural blood patch, with good clinical and radiographic results. This case demonstrates the potential value of MMAE for chronic subdural hematomas secondary to spontaneous intracranial hypotension.
脑膜中动脉栓塞术（MMAE）是慢性硬膜下血肿有效的初始或辅助治疗方法。然而，其在自发性颅内低压情况下的疗效尚未见报道。我们报告一例继发于自发性颅内低压的进行性双侧慢性硬膜下血肿病例，该患者首次腰椎硬膜外血贴治疗失败。患者接受了手术血肿清除术，并辅以MMAE及额外的硬膜外血贴，临床及影像学结果良好。该病例证明了MMAE对于继发于自发性颅内低压的慢性硬膜下血肿的潜在价值。
