AI Article Synopsis
- MMAE (middle meningeal artery embolization) is being investigated as an effective treatment for chronic subdural hematoma (cSDH), focusing on its efficiency based on the cause and structure of cSDH.
- A study with 52 patients treated with MMAE analyzed pre- and post-treatment cSDH thickness and volume using CT imaging, comparing both spontaneous and traumatic cases.
- Results showed a significant reduction in cSDH thickness and volume for both groups, with spontaneous cases showing more improvement at 6-12 months, suggesting long-term follow-up may be crucial for traumatic cases.
Article Abstract
: MMAE (middle meningeal artery embolization) has emerged as a potential effective treatment for cSDH (chronic subdural hematoma). In this study, MMAE efficiency with regards to cSDH cause and architecture was explored. The comparability of cSDH thickness and volume as parameters for cSDH pre- and post-MMAE assessment was also analyzed. : In this retrospective cohort study, 52 consecutive cSDH patients treated with MMAE in a single tertiary center were included. The cohort was divided into two group pairs pertaining to cSDH cause (spontaneous or traumatic) and cSDH architecture (non-mature or mature). The radiological outcome was compared in each group before and after MMAE and between each group pair using CT imaging. A correlation analysis between cSDH thickness and volume before and after MMAE was also performed. : A statistically significant positive linear association between cSDH thickness and volume at admission and at each follow-up interval (1-3, 3-6, 6-12 months) was noticed. cSDH thickness and volume reduction in each group was statistically significant, except for a traumatic cSDH volume reduction at 6-12 months. There was no statistically significant difference between each group pair in the cSDH thickness and volume reduction difference at all the follow-up intervals. : A comparable efficiency of MMAE may be achieved in non-mature and mature as well as in spontaneous and traumatic cSDH, with an advantage for spontaneous cSDH at 6-12 months follow-up compared to traumatic cSDH. Traumatic cSDH may require a relatively long-term follow-up post-MMAE. cSDH thickness and volume, as parameters for pre- and post-MMAE cSDH evaluation, appear similar.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591691 | PMC |
| http://dx.doi.org/10.3390/brainsci14111097 | DOI Listing |
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