PDF(Pubmed)
Abstract：
Organized chronic subdural hematoma is a rare form of chronic subdural hematoma. The optimal treatment method is still controversial. Preoperative middle meningeal artery embolization and craniotomy are effective methods for chronic subdural hematoma. However, there are not many reports investigating the effectiveness of these methods in treating organized chronic subdural hematoma. We report the case of a 61-year-old male patient who had a twist-drill craniostomy to treat a left hemisphere subdural hematoma. After surgery, there was a recurrence on the same side in the form of an organized subdural hematoma. The patient received preoperative left middle meningeal artery embolization. After 3 months of follow-up, a small portion of the hematoma remained, causing pressure and slightly shifting the midline to the right by 6.5 mm, and the patient no longer had clinical symptoms.
摘要：
有组织的慢性硬膜下血肿是一种罕见的慢性硬膜下血肿。最佳治疗方法仍存在争议。术前脑膜中动脉栓塞和开颅手术是治疗慢性硬膜下血肿的有效方法。然而,研究这些方法治疗有组织的慢性硬膜下血肿的有效性的报道不多。我们报告了一名61岁的男性患者，该患者进行了螺旋钻颅骨造口术以治疗左半球硬膜下血肿。手术后,同侧复发，表现为有组织的硬膜下血肿。患者术前接受左脑膜中动脉栓塞术。经过3个月的随访，一小部分血肿仍然存在，造成压力并使中线向右稍微偏移6.5毫米，患者不再有临床症状。
