Embolization of the middle meningeal artery for the treatment of epidural hematoma.

Abstract

Epidural hematomas (EDHs) are sometimes treated nonoperatively. Decision making, however, is not always perfect, and some hematomas chosen for observation later deteriorate and require surgical clot removal. With the current endovascular technology it is possible to embolize meningeal arteries to stop epidural bleeding. In this study, the author presents his experience in the treatment of a patient with a troublesome postoperative EDH successfully controlled with embolization therapy. This treatment is also useful in posttraumatic EDH and may obviate the need for surgery in some patients with EDHs who present early after injury and without significant mass effect.