MMA Embolization Post-Craniotomy Contralateral Reconstitution

Case of Dr. Eytan Raz

The potential for collateral reconsitution of the dura — your enemy if you dont understand it, and your friend when you do: see below

Post remote craniotomy — now with ipsilateral subdural hematoma

Right MMA is predictably gone.  Extensive left MMA collateral recostitution of right dural convexity.  Not to be seen in early post-craniotomy stages, but with time this is what happens. 

Detail. Even a small membrane is seen

Super, huh

Headway duo in parasagittal convexity wedge (flow control) position

Dilute nBCA injection

Post CT.  See penetration of glue into the membranes?  Super huh…

See other MMA Embolization Cases Here on the dedicated Subdural Hematoma Embolization Page

on Case Library Page