Efficacy of Endovascular Surgery for the Treatment of Acute Epidural Hematomas
Sachio Suzukia,
Masataka Endob,
Akira Kurataa,
Taketomo Ohmomoa,
Hidehiro Okaa,
Takao Kitaharab,
Takashi Ohwadab,
Satoshi Utsukia and
Kiyotaka Fujiia
a Department of Neurosurgery, Kitasato University School of Medicine, Kanagawa, Japan
b Department of Critical Care Medicine, Kitasato University School of Medicine, Kanagawa, Japan
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FIG 1. Plot shows changes in hematoma thickness in nine patients, as determined during CT at admission and postembolization follow-up.
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FIG 2. Case 5.
A, First CT scan obtained outside our institution shows an epidural hematoma in the right hemisphere.
B, Second CT scan, obtained at admission, shows that the hematoma has grown.
C, Superselective arteriogram of the right MMA demonstrates extravasation of contrast medium.
D, Follow-up CT scan obtained 20 days after embolization shows disappearance of the hematoma.
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FIG 3. Case 7.
A, CT scan demonstrates an epidural hematoma on the left side and a contusion of the right frontal lobe.
B, Enhanced CT scan shows extravasation of contrast medium.
C–E, Superselective angiograms of the left external carotid artery and left MMA before (C, D) and after (E) embolization.
F, CT scan obtained immediately after embolization shows enlargement of the contusion hematoma of the right frontal lobe and no change in the epidural hematoma on the left side.
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