PDF(Pubmed)
Abstract：
BACKGROUND: Arachnoid cysts are cerebrospinal fluid-filled spaces that are typically congenital and treated conservatively or with fenestration when symptomatic. Chronic subdural hematomas (cSDHs) can arise in the presence of arachnoid cysts due to fragile leptomeningeal vessels or veins within the cyst wall or cyst lumen, leading to bleeding and subsequent hematoma formation. Middle meningeal artery (MMA) embolization is regularly used for the treatment of cSDH as an alternative to craniotomy and evacuation.
METHODS: Here, the authors present the first known report of the simultaneous resolution of an arachnoid cyst and cSDH following MMA embolization in an adult. A 24-year-old male presented to the emergency department with 1 month of worsening headaches. Imaging revealed the presence of a cSDH and ipsilateral arachnoid cyst. The cSDH was treated with MMA embolization using coils exclusively. Follow-up imaging 4 months after embolization demonstrated simultaneous resolution of both the hematoma and the arachnoid cyst.
CONCLUSIONS: MMA embolization has been used for the treatment of cSDH. In cases in which the hematoma is related to an arachnoid cyst, MMA embolization can also lead to the concurrent resolution of both pathologies. https://thejns.org/doi/10.3171/CASE24192.
METHODS: Here, the authors present the first known report of the simultaneous resolution of an arachnoid cyst and cSDH following MMA embolization in an adult. A 24-year-old male presented to the emergency department with 1 month of worsening headaches. Imaging revealed the presence of a cSDH and ipsilateral arachnoid cyst. The cSDH was treated with MMA embolization using coils exclusively. Follow-up imaging 4 months after embolization demonstrated simultaneous resolution of both the hematoma and the arachnoid cyst.
CONCLUSIONS: MMA embolization has been used for the treatment of cSDH. In cases in which the hematoma is related to an arachnoid cyst, MMA embolization can also lead to the concurrent resolution of both pathologies. https://thejns.org/doi/10.3171/CASE24192.
摘要：
背景：蛛网膜囊肿是脑脊液充盈的间隙，通常是先天性的，保守治疗或有症状时开窗治疗。由于囊壁或囊肿腔内脆弱的软脑膜血管或静脉，在蛛网膜囊肿的存在下可出现慢性硬膜下血肿（cSDH）。导致出血和随后的血肿形成。脑膜中动脉（MMA）栓塞术通常用于治疗cSDH，以替代开颅手术和疏散术。
方法：这里，作者介绍了成人MMA栓塞后蛛网膜囊肿和cSDH同时消退的第一份已知报告。一名24岁的男性出现在急诊科，头痛恶化1个月。影像学显示存在cSDH和同侧蛛网膜囊肿。仅使用线圈用MMA栓塞治疗cSDH。栓塞后4个月的随访成像显示血肿和蛛网膜囊肿同时消退。
结论：MMA栓塞已用于治疗cSDH。如果血肿与蛛网膜囊肿有关，MMA栓塞还可以导致两种病理的同时解决。https://thejns.org/doi/10.3171/CASE24192。
方法：这里，作者介绍了成人MMA栓塞后蛛网膜囊肿和cSDH同时消退的第一份已知报告。一名24岁的男性出现在急诊科，头痛恶化1个月。影像学显示存在cSDH和同侧蛛网膜囊肿。仅使用线圈用MMA栓塞治疗cSDH。栓塞后4个月的随访成像显示血肿和蛛网膜囊肿同时消退。
结论：MMA栓塞已用于治疗cSDH。如果血肿与蛛网膜囊肿有关，MMA栓塞还可以导致两种病理的同时解决。https://thejns.org/doi/10.3171/CASE24192。
