J Cerebrovasc Endovasc Neurosurg.  2018 Mar;20(1):40-46. 10.7461/jcen.2018.20.1.40.

Usefulness of Middle Meningeal Embolization to Prevent Recurrent Spontaneous Chronic Subdural Hemorrhage

• Sirh S
• Park HR
• Park SQ

• KMID: 2422559
• DOI: http://doi.org/10.7461/jcen.2018.20.1.40

Abstract

Spontaneous chronic subdural hematoma (SDH) is a rare condition that could develop in association with hematologic disease. A 66-year-old male developed a chronic SDH as an initial manifestation of chronic myelomonocytic leukemia (CMML). He experienced recurrent chronic subdural hemorrhage and newly developed intracerebral hemorrhage. Considering the scheduled long-term chemotherapy, bilateral middle meningeal artery (MMA) embolization was performed to prevent recurrence of subdural hemorrhage. Although pancytopenia occurred during the 7 months' follow-up period, residual chronic subdural hemorrhage was absorbed without recurrence. To our best knowledge, this is the first report of CMML with spontaneous chronic SDH. MMA embolization is potentially a useful and safe treatment option in the challenging clinical situations with underlying pathologies.

Keyword

Leukemia; Myelomonocytic; Subdural hematoma; Embolization

MeSH Terms

Aged
Cerebral Hemorrhage
Drug Therapy
Follow-Up Studies
Hematologic Diseases
Hematoma, Subdural*
Hematoma, Subdural, Chronic
Humans
Leukemia
Leukemia, Myelomonocytic, Chronic
Male
Meningeal Arteries
Pancytopenia
Pathology
Recurrence