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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Neurosurgery

Advisor

Dr. Nancy E. Reid

Abstract

Objective: The purpose of this article is to review surgical treatment for chronic subdural hematomas via middle meningeal artery (MMA) embolization and compare its effectiveness to traditional surgical methods.

Method: A literature search was conducted using the search terms subdural hematoma, middle meningeal artery, traumatic brain injury, embolization, and intracranial hemorrhage. Seven recent and relevant articles were obtained and used as the basis for this clinic review.

Results: An abundance of evidence-based research to demonstrate reduction in recurrence of subdural hematoma when MMA embolization is the treatment of choice.

Conclusion: MMA embolization should be considered in patients with chronic subdural hematomas who fail conservative measures and require additional intervention. It is less invasive and has a reduce recurrence rate when compared to traditional surgical techniques, including burr hole drainage and craniotomies for hematoma evacuation.

Keywords: Subdural hematoma, middle meningeal artery, traumatic brain injury, intracranial hemorrhage, interventional radiology.

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