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A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma
Subdural hemorrhage (SDH) is a common neurological disease. In past, SDHs were managed either conservatively (non-surgically) or with surgical evacuation (burr hole versus craniotomy) depending on the severity. Surgical evacuation has major challenges including high recurrence rate, stoppage and rev...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219617/ https://www.ncbi.nlm.nih.gov/pubmed/37252526 http://dx.doi.org/10.7759/cureus.38164 |
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author | Kulhari, Ashish Fourcand, Farah Singh, Amrinder Zacharatos, Haralabos Mehta, Siddhart Kirmani, Jawad F |
author_facet | Kulhari, Ashish Fourcand, Farah Singh, Amrinder Zacharatos, Haralabos Mehta, Siddhart Kirmani, Jawad F |
author_sort | Kulhari, Ashish |
collection | PubMed |
description | Subdural hemorrhage (SDH) is a common neurological disease. In past, SDHs were managed either conservatively (non-surgically) or with surgical evacuation (burr hole versus craniotomy) depending on the severity. Surgical evacuation has major challenges including high recurrence rate, stoppage and reversal of antiplatelet or anticoagulation agents, risk of general anesthesia and surgery in elderly patients with multiple comorbidities. Given the above challenges, embolization of the distal branches of the middle meningeal artery (MMA) has recently emerged as an excellent alternate to surgical evacuation or conservative management. To the best of our knowledge, there is no literature on the embolization of the deep temporal artery (DTA) for subacute-chronic SDH. We report the first case of recurrent subdural hematoma post MMA embolization that was successfully treated with embolization of DTA. |
format | Online Article Text |
id | pubmed-10219617 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102196172023-05-27 A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma Kulhari, Ashish Fourcand, Farah Singh, Amrinder Zacharatos, Haralabos Mehta, Siddhart Kirmani, Jawad F Cureus Neurology Subdural hemorrhage (SDH) is a common neurological disease. In past, SDHs were managed either conservatively (non-surgically) or with surgical evacuation (burr hole versus craniotomy) depending on the severity. Surgical evacuation has major challenges including high recurrence rate, stoppage and reversal of antiplatelet or anticoagulation agents, risk of general anesthesia and surgery in elderly patients with multiple comorbidities. Given the above challenges, embolization of the distal branches of the middle meningeal artery (MMA) has recently emerged as an excellent alternate to surgical evacuation or conservative management. To the best of our knowledge, there is no literature on the embolization of the deep temporal artery (DTA) for subacute-chronic SDH. We report the first case of recurrent subdural hematoma post MMA embolization that was successfully treated with embolization of DTA. Cureus 2023-04-26 /pmc/articles/PMC10219617/ /pubmed/37252526 http://dx.doi.org/10.7759/cureus.38164 Text en Copyright © 2023, Kulhari et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Kulhari, Ashish Fourcand, Farah Singh, Amrinder Zacharatos, Haralabos Mehta, Siddhart Kirmani, Jawad F A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title | A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title_full | A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title_fullStr | A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title_full_unstemmed | A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title_short | A Novel Case of Deep Temporal Artery (DTA) Embolization for Recurrent Subacute-Chronic Subdural Hematoma |
title_sort | novel case of deep temporal artery (dta) embolization for recurrent subacute-chronic subdural hematoma |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219617/ https://www.ncbi.nlm.nih.gov/pubmed/37252526 http://dx.doi.org/10.7759/cureus.38164 |
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