Traumatic epidural hematoma treated with endovascular coil embolization.

Authors :: Madison MT
Graupman PC
Carroll JM
Torok CM
Touchette JC
Nussbaum ES
Source :: Surgical neurology international [Surg Neurol Int] 2021 Jul 06; Vol. 12, pp. 322. Date of Electronic Publication: 2021 Jul 06 (Print Publication: 2021).
Publication Year :: 2021
Abstract: Background: Traumatic cerebrovascular injury may result in epidural hematoma (EDH) from laceration of the middle meningeal artery (MMA), which is a potentially life-threatening emergency. Treatment ranges from surgical evacuation to conservative management based on a variety of clinical and imaging factors.<br />Case Description: A 14-year-old male presented to our institution after falling from his bicycle with traumatic subarachnoid hemorrhage and a right frontotemporal EDH. The patient did not meet criteria for surgical evacuation and endovascular embolization of the right MMA was performed. Rapid resolution of the EDH was observed.<br />Conclusion: This case corroborates the sparse existing literature for the potential role of endovascular embolization to treat acute EDH in carefully selected patients who do not meet or have borderline indications for surgical management.<br />Competing Interests: Jillienne C Touchette is CEO and has ownership interest in Superior Medical Experts.<br /> (Copyright: © 2021 Surgical Neurology International.)