case_images: PMC11748381_01
case_images: Axial CT scans of the index patient illustrate the progression over time.
case_images: 10.1177_00368504241271730-fig1.jpg
case_images: PMC11748381_01_10.1177_00368504241271730-fig1.jpg
case_images: fig1-00368504241271730
case_images: A 67-year-old male presented with a right-sided cSDH (depth 42 mm) and a consecutive midline shift (MLS) of 15 mm (Figure 1). The scan revealed a depth of 40 mm with chronic and acute components (Figure 1). Four weeks later the patient presented a second recurrence of the SDH upon CT (Figure 1). Intra-interventionally, a pronounced collateral between the ventral branch of the right-sided MMA to the ophthalmic artery (and consecutively contrast in the MCA) was seen (Figure 1). After embolization, the membranes of the SDH were no longer detectable (Figure 1). The scan showed no complications (Figure 1). The axial CT scan showed a stable SDH without recurrence of the MLS (Figure 1). He presented with a full recovery of the preoperative symptoms three months after intervention and no further intervention was needed (Figures 1 and 2).
case_images: Computed tomography (CT) angiography showing the medial meningeal artery on the right side before and after embolization.
case_images: 10.1177_00368504241271730-fig2.jpg
case_images: PMC11748381_01_10.1177_00368504241271730-fig2.jpg
case_images: fig2-00368504241271730
case_images: He presented with a full recovery of the preoperative symptoms three months after intervention and no further intervention was needed (Figures 1 and 2).