CC BY 4.0 · The Arab Journal of Interventional Radiology 2023; 07(S 01): S1-S41
DOI: 10.1055/s-0043-1763445
Category: Neurointerventions

Middle Meningeal Artery Embolization for Chronic Subdural Hematoma

Sushanta Paudel
1   Bharatpur, Nepal
› Author Affiliations

    Background: We present a case of chronic subdural hematoma refractory to burr hole surgery treated successfully with middle meningeal artery embolization.

    Case: 61-year-old gentleman presented with a history of headaches and single episodes of vomiting. Neurological examination was normal. A noncontrast computed tomography (CT) scan of the head showed chronic subdural hematoma with midline shift. The patient was managed with burr hole surgery but there was no improvement in the symptoms and CT findings of recollection of blood in subdural space. The patient was then managed endovascularly with embolization of the middle meningeal artery (MMA), patient recovered fully after the endovascular treatment.

    Discussion: Chronic subdural hematoma can present clinically with vomiting and headache, if refractory to burr hole surgery it can be managed with the embolization of the middle meningeal artery.


    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    09 February 2023

    © 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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