Middle meningeal artery embolization in pediatric patient

In Reply: Middle Meningeal Artery Embolization for Primary Treatment of a Chronic Subdural Hematoma in a Pediatric Patient: A Systematic Review of the Literature and Case Report

“…Five of the 8 cases that have been described in the literature involved patients who were 2 years of age or younger. 2,3,[6][7][8] Etiology-As highlighted by Lu et al, 1 2 patients in our systematic review underwent MMA embolization in the setting of a ruptured arachnoid cyst. 9,10 We fully agree that subdural hygromas associated with arachnoid cysts can be treated nonsurgically 11 and that even a certain subset of subdural hematomas can also be observed in this setting.…”

“…Middle meningeal artery (MMA) embolization is becoming increasingly used in a subset of pediatric patients, and in the short time since the submission of our manuscript, an additional 2 case reports have been published. 2,3 In their letter, Lu et al 1 described several important considerations that will guide the selection of appropriate pediatric candidates for MMA embolization.…”

“…Five of the 8 cases that have been described in the literature involved patients who were 2 years of age or younger. 2,3,6-8…”

Middle Meningeal Artery Embolization in Pediatric Patients

“…Indications for MMA embolization in pediatric patients continue to be under investigation. In pediatrics, case reports describe MMA embolization as an alternative for cSDH treatment when surgery is deemed high-risk due to anticoagulation requirements or as preparation for AVM/AVF or tumor resection [9, 20]. In adults, the overwhelming majority of papers discuss MMA embolization in the context of cSDHs [1, 25, 26].…”

“…Three of the patients with SDH were awaiting heart transplants; their anticoagulation requirements rendered open surgery high-risk, and MMA embolization was chosen [9][10][11]. For all 3 cases, the SDH was either stable or diminishing at follow-up [9][10][11]. Two cases of cSDH were the result of non-accidental trauma [12,13].…”