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KMID : 1005420180200010040
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Journal of Cerebrovascular and Endovascular Neurosurgery
2018 Volume.20 No. 1 p.40 ~ p.46
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Usefulness of Middle Meningeal Embolization to Prevent Recurrent Spontaneous Chronic Subdural Hemorrhage
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Sirh Soo-Ji
Park Hye-Ran
Park Sukh-Que
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Abstract
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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.
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KEYWORD
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Leukemia, Myelomonocytic, Subdural hematoma, Embolization
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