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Angiographic classification of chronic subdural hematoma

Kupka, Michael Josef and Thurner, Patrick and Schubert, Tilman and Hainc, Nicolin and Germans, Menno Robbert and Kulcsár, Zsolt (2024) Angiographic classification of chronic subdural hematoma. IDEGGYOGYASZATI SZEMLE / CLINICAL NEUROSCIENCE, 77 (5-6). pp. 196-200. ISSN 0019-1442

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Abstract

Background and purpose – Chronic subdural hematoma (cSDH) is a challenging pathology with high recurrence rate after surgical treatment and may seriously affect the patient’s quality of life. Membrane formation with angiogenesis plays an important role in the evolution of the disease, providing a promising target for endovascular therapy. Our goal is to categorize angiographic patterns of chronic subdural hematoma for standardized reporting purposes. Methods – In our retrospective analysis of prospective data collection, we analyzed angiographic properties of all high recurrence risk patients with cSDH, who were treated by embolization in our hospital between February 2019 and June 2020. Altogether 17 patients were included in the analysis. Results – Based on superselective angiography of the middle meningeal artery (MMA) in the two standard, AP and lateral views, three distinct categories of dural supply were defined: normal vascular pattern (Grade I), cottonwool appearance without enlargement of the MMA branches (Grad II) and strong cottonwool like staining with dilatative remodelling of the MMA branches (Grade III). Conclusion – The proposed grading system of the angiographic appearance of cSDH, representing the pathophysiological evolution of the disease should be correlated to therapeutic success rates and could be applied in future clinical studies.

Item Type: Article
Uncontrolled Keywords: chronic subdural hematoma, embolization, middle meningeal artery, endovascular therapy, cotton-wool enhancement
Subjects: R Medicine / orvostudomány > R1 Medicine (General) / orvostudomány általában
R Medicine / orvostudomány > RC Internal medicine / belgyógyászat > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry / idegkórtan, neurológia, pszichiátria
Depositing User: Melinda Danyi
Date Deposited: 13 Jun 2024 07:02
Last Modified: 13 Jun 2024 07:02
URI: https://real.mtak.hu/id/eprint/197271

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