Xuan Hai Dao, Minh Thong Pham, Van He Dong, Thanh Dung Le, Tuan Dung Pham, Quang Loc Tran
Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.
Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.
Radiol Case Rep. 2024 Jun 7;19(8):3569-3573. doi: 10.1016/j.radcr.2024.04.090. eCollection 2024 Aug.
Organized chronic subdural hematoma is a rare form of chronic subdural hematoma. The optimal treatment method is still controversial. Preoperative middle meningeal artery embolization and craniotomy are effective methods for chronic subdural hematoma. However, there are not many reports investigating the effectiveness of these methods in treating organized chronic subdural hematoma. We report the case of a 61-year-old male patient who had a twist-drill craniostomy to treat a left hemisphere subdural hematoma. After surgery, there was a recurrence on the same side in the form of an organized subdural hematoma. The patient received preoperative left middle meningeal artery embolization. After 3 months of follow-up, a small portion of the hematoma remained, causing pressure and slightly shifting the midline to the right by 6.5 mm, and the patient no longer had clinical symptoms.
机化性慢性硬膜下血肿是慢性硬膜下血肿的一种罕见形式。最佳治疗方法仍存在争议。术前脑膜中动脉栓塞术和开颅手术是治疗慢性硬膜下血肿的有效方法。然而，关于这些方法治疗机化性慢性硬膜下血肿有效性的报道并不多。我们报告一例61岁男性患者，该患者接受了锥颅术治疗左半球硬膜下血肿。术后，同侧以机化性硬膜下血肿的形式复发。该患者接受了术前左脑膜中动脉栓塞术。经过3个月的随访，血肿仍有一小部分残留，产生压迫并使中线轻度右移6.5毫米，且患者不再有临床症状。
