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.
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。