Title:Enlargement of the Middle Meningeal Artery may be an Initiating Factor of
Chronic Subdural Hematoma: Three Rase reports and a Literature Review
Volume: 20
Author(s): Haicheng Xu, Xin Huang, Jin Xu, Jianfeng Jiang, Kai Gong, Heng Gao*, Xing Wang and Yichi Tao
Affiliation:
- Department of Neurosurgery, Affiliated Jiangyin Hospital of Nantong University, Nantong University, Jiangyin, Wuxi, China
Keywords:
Chronic subdural hematomas, Middle meningeal artery, Neovessels, Trauma, Artery, MRA.
Abstract:
Background:
MMA (middle meningeal artery) embolization for the treatment of refractory CSDH (chronic subdural hematoma) was first described by Mandai et
al. in 2000. More surgeons hadbegun to pay attention to such surgery to treat CSDH and explored the changes in the middle meningealartery in the
formation of hematomas.
Case Presentation:
We present three cases of chronic subdural hematoma after head trauma and compared the diameter of middle meningeal artery in MRA images
before and after chronic subduralhematoma to discuss our new understanding of CSDH.
Conclusion:
The enlarging of MMA was found through MRA in patients with craniocerebral trauma on one side but not on the other. However, only the
enlarged side had a subdural hematoma, so we speculate that the enlargement of MMA might be one of the initiating factors of CSDH.
