Case-Based Modules > Case 13 > Stage 3

The patient is continuing to recover well. His alertness has markedly improved, as has his hemiparesis. His post-op non-contrast head CT demonstrates expected post-operative changes over the right hemisphere, with a subdural drain in place and minimal residual extraaxial blood on that side. Midline shift has been reduced to just 1.2mm.

You're very pleased with this result. But, now you turn your attention to his left-sided acute-on-chronic SDH. You discuss the patient's status with your chief resident. They ask you whether you're considering whether the patient should get their left middle meningeal artery (MMA) embolized now.

Could an MMA embolization help this patient, and how?

Yes; it reduces the need for surgical intervention.

Yes; it will promptly reduce the size of the hematoma.

No; it's the wrong target vessel.

No; the patient hasn't received any surgical intervention on that side.


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