MMA embolization for CSDH

Middle Meningeal Artery (MMA) Embolization is an advanced minimally invasive neurovascular procedure used to treat Chronic Subdural Hematoma (CSDH). A chronic subdural hematoma is a collection of old blood that accumulates between the brain and its outer covering (dura), often following a minor head injury, especially in elderly individuals.

MMA embolization works by blocking the tiny blood vessels that contribute to the growth and recurrence of the hematoma. This innovative treatment helps promote hematoma resolution, reduce recurrence rates, and may decrease the need for repeated surgical drainage.

Experienced neuro and spine surgeons in Ghaziabad utilize advanced endovascular techniques to provide safe and effective treatment for patients with chronic subdural hematoma.

A chronic subdural hematoma develops when blood slowly accumulates beneath the dura mater over days to weeks following trauma or spontaneous bleeding.

Risk factors include:

• Advanced Age
• Minor Head Injury
• Blood Thinner Medications
• Anticoagulant Therapy
• Frequent Falls
• Alcohol Abuse
• Brain Atrophy Associated with Aging

Without treatment, a growing hematoma can compress the brain and cause significant neurological symptoms.

Common symptoms include:

• Persistent Headache
• Weakness of the Arms or Legs
• Difficulty Walking
• Balance Problems
• Confusion or Memory Issues
• Drowsiness
• Speech Difficulties
• Seizures
• Personality Changes
• Reduced Consciousness

Prompt diagnosis and treatment are essential to prevent neurological deterioration.

MMA embolization may be recommended for:

• Chronic Subdural Hematoma
• Recurrent Subdural Hematoma
• Residual Hematoma After Surgical Drainage
• Patients at High Surgical Risk
• Patients Taking Blood Thinners
• Bilateral Chronic Subdural Hematomas
• Cases Where Recurrence Prevention is Desired

The treatment plan is determined after careful neurological assessment and brain imaging studies.

• Minimally Invasive Procedure
  Treatment is performed through a catheter without opening the skull.
• Reduces Recurrence Risk
  Significantly lowers the likelihood of chronic subdural hematoma returning after treatment.
• Supports Hematoma Resolution
  Helps shrink the hematoma by reducing abnormal blood vessel activity.
• Shorter Recovery Time
  Most patients recover quickly compared to traditional surgery.
• Reduced Need for Repeat Operations
  Can decrease the requirement for additional surgical drainage procedures.
• Suitable for Elderly Patients
  Often beneficial for patients who may not tolerate major surgery well.

• Chronic Subdural Hematoma (CSDH)
• Recurrent Chronic Subdural Hematoma
• Bilateral Subdural Hematoma
• Residual Hematoma Following Burr Hole Surgery
• High-Risk Neurosurgical Cases

The procedure is performed in a specialized neuro-interventional suite.

• A small catheter is inserted through an artery in the wrist or groin.
• Using advanced angiographic imaging, the catheter is guided to the middle meningeal artery.
• Specialized embolic materials are injected into the artery.
• Blood supply to the abnormal membranes associated with the hematoma is blocked.
• The catheter is removed, and the access site is closed.

The procedure is highly precise and usually completed within a few hours.

Recovery is generally rapid and well tolerated.

Most patients can expect:

• Neurological monitoring after the procedure
• Hospital observation for a short period
• Follow-up CT scans to monitor hematoma resolution
• Gradual improvement in symptoms
• Return to routine activities within a few days

Regular follow-up is important to assess treatment success and recovery progress.

MMA embolization is a highly specialized neurovascular procedure requiring expertise in endovascular neurosurgery and cerebrovascular intervention. Experienced neuro and spine surgeons in Ghaziabad utilize advanced angiography systems, modern embolization materials, and evidence-based treatment protocols to provide comprehensive care for chronic subdural hematoma patients.

Their goal is to minimize recurrence, improve neurological recovery, and reduce the need for invasive surgery whenever possible.