AI Article Synopsis
- Chronic subdural hematoma (cSDH) is becoming increasingly common and often requires surgical intervention to relieve symptoms, but drainage alone may lead to high recurrence rates.
- New techniques like middle meningeal artery embolization (MMAE) show promise in reducing these recurrence risks but raise questions about their integration into standard care.
- This review examines current cSDH management practices and explores the potential and uncertainties surrounding the use of MMAE.
Article Abstract
Chronic subdural hematoma (cSDH) is a common neurosurgical disease that is increasing in incidence worldwide. While surgical evacuation can relieve mass effect and alleviate neurologic symptoms, drainage alone does not address underlying cSDH pathophysiology, likely resulting in high rates of recurrence. Middle meningeal artery embolization (MMAE) has emerged as a promising adjunct to conventional cSDH to reduce recurrence risk. Despite positive results from multiple randomized controlled trials demonstrating MMAE efficacy, questions remain about its optimal role in routine patient care. This review summarizes the contemporary management of cSDH, discusses the emerging role of MMAE, and highlights lingering questions and future directions.
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| http://dx.doi.org/10.1016/j.nec.2024.08.006 | DOI Listing |
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