Journal of Korean Neurosurgical Society

  • 제65권6호
  • /
  • Pages.868-874
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  • 2022
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Efficacy of Middle Meningeal Artery Embolization in Treatment Resistant Spontaneous Intracranial Hypotension Caused Subdural Hematoma : Report of Two Cases and Review of the Literature

  • Evran, Sevket (Department of Neurosurgery, Haseki Training and Research Hospital, University of Health Sciences) ;
  • Kayhan, Ahmet (Department of Neurosurgery, Haseki Training and Research Hospital, University of Health Sciences) ;
  • Saygi, Tahsin (Department of Neurosurgery, Haseki Training and Research Hospital, University of Health Sciences) ;
  • Ozbek, Muhammet Arif (Department of Neurosurgery, Istanbul Medipol University) ;
  • Kilickesmez, Ozgur (Department of Radiology, Basaksehir Cam And Sakura City Hospital)
  • 투고 : 2022.03.19
  • 심사 : 2022.05.03
  • 발행 : 2022.11.01
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초록

Spontaneous intracranial hypotension (SIH) most commonly manifests as bilateral subdural hematoma (SH). SIH cases mostly resolve spontaneously but further treatment would be needed via blind epidural blood patch (EBP). Cerebrospinal fluid (CSF) leakage in EBP-refractory cases can be treated surgically only if the localization of CSF leakage is detectable but it cannot be possible in most of the cases. Also surgical evacuation of SH secondary to SIH (SH-SIH) is not favorable without blocking the CSF leakage. Thus the management of these patients is a challenge and alternative treatment options are needed. Although middle meningeal artery embolization (MMAE) is an effective treatment option in non-SIH SH, there is no report about its application in the treatment of SH-SIH. We present two cases of SH-SIH which their clinical and radiological findings were completely resolved by bilateral MMAE treatment.

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참고문헌

  1. Ahn C, Lee E, Lee JW, Chee CG, Kang Y, Kang HS : Two-site blind epidural blood patch versus targeted epidural blood patch in spontaneous intracranial hypotension. J Clin Neurosci 62 : 147-154, 2019 https://doi.org/10.1016/j.jocn.2018.11.039
  2. Ban SP, Hwang G, Byoun HS, Kim T, Lee SU, Bang JS, et al. : Middle meningeal artery embolization for chronic subdural hematoma. Radiology 286 : 992-999, 2018 https://doi.org/10.1148/radiol.2017170053
  3. Cho KI, Moon HS, Jeon HJ, Park K, Kong DS : Spontaneous intracranial hypotension: efficacy of radiologic targeting vs blind blood patch. Neurology 76 : 1139-1144, 2011 https://doi.org/10.1212/WNL.0b013e318212ab43
  4. Chotai S, Kim JH, Kim JH, Kwon TH : Brain herniation induced by drainage of subdural hematoma in spontaneous intracranial hypotension. Asian J Neurosurg 8 : 112-115, 2013 https://doi.org/10.4103/1793-5482.116390
  5. Chung SJ, Kim JS, Lee MC : Syndrome of cerebral spinal fluid hypovolemia: clinical and imaging features and outcome. Neurology 55 : 1321-1327, 2000 https://doi.org/10.1212/WNL.55.9.1321
  6. Dhillon AK, Rabinstein AA, Wijdicks EF : Coma from worsening spontaneous intracranial hypotension after subdural hematoma evacuation. Neurocrit Care 12 : 390-394, 2010 https://doi.org/10.1007/s12028-009-9323-8
  7. Ferrante E, Rubino F, Beretta F, Regna-Gladin C, Ferrante MM : Treatment and outcome of subdural hematoma in patients with spontaneous intracranial hypotension: a report of 35 cases. Acta Neurol Belg 118 : 61-70, 2018 https://doi.org/10.1007/s13760-017-0845-0
  8. Forghani R, Farb RI : Diagnosis and temporal evolution of signs of intracranial hypotension on MRI of the brain. Neuroradiology 50 : 1025-1034, 2008 https://doi.org/10.1007/s00234-008-0445-z
  9. Garcia-Morales I, Porta-Etessam J, Galan L, Lagares A, Molina JA : Recurrent subdural haematomas in a patient with spontaneous intracranial hypotension. Cephalalgia 21 : 703-705, 2001 https://doi.org/10.1046/j.1468-2982.2001.00226.x
  10. Girao MMV, Sousa RMP, Ribeiro MC, Cardoso TAM de O, Franca Junior MC, Reis F : Spontaneous intracranial hypotension and its complications. Arq Neuropsiquiatr 76 : 507-511, 2018 https://doi.org/10.1590/0004-282x20180070
  11. Headache Classification Committee of the International Headache Society (IHS) : The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 33 : 629-808, 2013 https://doi.org/10.1177/0333102413485658
  12. Inenaga C, Tanaka T, Sakai N, Nishizawa S : Diagnostic and surgical strategies for intractable spontaneous intracranial hypotension. Case report. J Neurosurg 94 : 642-645, 2001 https://doi.org/10.3171/jns.2001.94.4.0642
  13. Link TW, Boddu S, Marcus J, Rapoport BI, Lavi E, Knopman J : Middle meningeal artery embolization as treatment for chronic subdural hematoma: a case series. Oper Neurosurg (Hagerstown) 14 : 556-562, 2018 https://doi.org/10.1093/ons/opx154
  14. Link TW, Boddu S, Paine SM, Kamel H, Knopman J : Middle meningeal artery embolization for chronic subdural hematoma: a series of 60 cases. Neurosurgery 85 : 801-807, 2019 https://doi.org/10.1093/neuros/nyy521
  15. Link TW, Schwarz JT, Paine SM, Kamel H, Knopman J : Middle meningeal artery embolization for recurrent chronic subdural hematoma: a case series. World Neurosurg 118 : e570-e574, 2018 https://doi.org/10.1016/j.wneu.2018.06.241
  16. Schievink WI, Maya MM, Moser FG, Tourje J : Spectrum of subdural fluid collections in spontaneous intracranial hypotension. J Neurosurg 103 : 608-613, 2005 https://doi.org/10.3171/jns.2005.103.4.0608
  17. Takahashi K, Mima T, Akiba Y : Chronic subdural hematoma associated with spontaneous intracranial hypotension: therapeutic strategies and outcomes of 55 cases. Neurol Med Chir (Tokyo) 56 : 69-76, 2016 https://doi.org/10.2176/nmc.oa.2015-0032
  18. Wu JW, Hseu SS, Fuh JL, Lirng JF, Wang YF, Chen WT, et al. : Factors predicting response to the first epidural blood patch in spontaneous intracranial hypotension. Brain 140 : 344-352, 2017 https://doi.org/10.1093/brain/aww328
  19. Yadav YR, Parihar V, Namdev H, Bajaj J : Chronic subdural hematoma. Asian J Neurosurg 11 : 330-342, 2016 https://doi.org/10.4103/1793-5482.145102