Middle Meningeal Embolization
Middle Meningeal Embolization for Chronic Subdural Hematomas | Vascular Neurology of Southern California
Chronic subdural hematomas are a type of brain injury that occurs when blood accumulates between the brain and the skull, leading to pressure on the brain and resulting in symptoms such as headaches, weakness, confusion, and seizures. While surgery is a common treatment option for this condition, it may not be feasible for all patients or carry potential risks. This is where middle meningeal embolization comes in as an alternative treatment option.
Dr. M Asif Taqi, a quintuple board-certified neurointerventionalist, and his team at Vascular Neurology of Southern California specialize in minimally invasive treatments for neurological conditions, including middle meningeal embolization for chronic subdural hematomas.
Learn more about middle meningeal embolization for chronic subdural hematomas by reading on or contacting Vascular Neurology of Southern California today. We have Southern California offices in West Hills, Thousand Oaks, and Lancaster, as well as a Las Vegas, NV, location.
How Does MMA Embolization Work?
Middle meningeal embolization reduces the blood flow in meninges ( covering of the brain) that in turn reduces the inflammatory process that results in growth of subdural fluid.
The procedure is performed under general anesthesia and typically takes less than an hour. With the use of imaging technology, a catheter is inserted into the femoral or radial artery and guided to the middle meningeal artery. Once the catheter is in place, the embolic material is injected, causing a blockage of blood flow to the covering of the brain that can result in not only stopping the growth but also regression of the subdural hematoma.
What are the Benefits of Middle Meningeal Embolization for Chronic Subdural Hematomas?
The benefits of middle meningeal embolization for chronic subdural hematomas, as offered by Dr. Taqi and his team at Vascular Neurology of Southern California, include:
- Minimal Invasiveness: The procedure does not require an incision and is performed through a small puncture in the groin, reducing the risk of complications and allowing for a faster recovery.
- Effectiveness: Middle meningeal embolization anecdotally has been shown to reduce the size of chronic subdural hematomas and relieve pressure on the brain.
- Reduced Risk of Complications: The procedure has a lower risk of complications compared to surgical removal of the hematoma, making it a safer option for some patients.
- Shorter Recovery Time: The recovery time for middle meningeal embolization is typically shorter compared to surgery, allowing patients to return to normal activities more quickly.
What Can I Expect During the Subdural Hematoma Embolization Process?
The following stages describe what happens during a middle meningeal embolization treatment with Dr. Taqi:
- Cerebral Angiogram: Before the procedure, a cerebral angiogram may be performed to map the blood vessels of the hematoma. A contrast dye is injected through a small catheter and images are captured using special camera technology. This allows the interventional neurologist to determine how the hematoma is supplied with blood and to plan the embolization procedure.
- Incisions and Embolization Process: The procedure is performed under general anesthesia and typically takes less than an hour. A small incision is made in the skin and then femoral/radial artery catheter is inserted and another catheter then guided to the middle meningeal artery. The embolic material (such as a polymer, microspheres, microbeads, or microcoils) is then injected, causing a blockage of blood flow to the hematoma.
- Recovery: After the procedure, patients are observed overnight to ensure there are no complications. They can typically go home the next day and return to normal activities within a few days. A member of Dr. Taqi’s team will provide follow-up care and discuss any necessary testing.
Am I a Good Candidate for Middle Meningeal Embolization for Chronic Subdural Hematomas?
Dr. Taqi and his team understand that each patient is unique, and their health and safety should always be the number one priority. When evaluating a patient’s candidacy for middle meningeal embolization for chronic subdural hematomas, they carefully consider a range of factors to determine the best course of action. This includes assessing the size and location of the hematoma, as well as the overall health of the patient, taking into account any underlying medical conditions or other factors that could impact their ability to undergo the procedure.
In addition, Dr. Taqi and his team will work closely with the patient and their doctor to understand their preferences and goals and to ensure that they fully understand the risks and benefits of the treatment. This collaborative approach ensures that each patient receives personalized care that is tailored to their unique needs and circumstances.
It is important to note that middle meningeal embolization is not always the best option for treating chronic subdural hematomas, and the decision to pursue this treatment should be made on a case-by-case basis. Ultimately, our goal is to provide the highest level of care to each patient and help them achieve the best possible outcomes for their health and quality of life.
Schedule Your Consultation Today
At Vascular Neurology of Southern California, Dr. Taqi and his team are dedicated to providing individualized and innovative care for their patients. If you or a loved one is suffering from a chronic subdural hematoma and are seeking an alternative to surgery, consider reaching out to the team at Vascular Neurology of Southern California for a consultation. They will work with you to determine the best course of action and provide expert care every step of the way.