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Adult patient with enlarging recurrent bilateral chronic subdural hematoma (cSDH) following initially successful burr hole craniotomy. Adult patient with.

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Presentation on theme: "Adult patient with enlarging recurrent bilateral chronic subdural hematoma (cSDH) following initially successful burr hole craniotomy. Adult patient with."— Presentation transcript:

1 Adult patient with enlarging recurrent bilateral chronic subdural hematoma (cSDH) following initially successful burr hole craniotomy. Adult patient with enlarging recurrent bilateral chronic subdural hematoma (cSDH) following initially successful burr hole craniotomy. CT of the head demonstrates bilateral mixed density cSDH collections (A). Superselective angiogram (B) from a catheter position within a frontal branch of the middle meningeal artery demonstrates the anatomy of the distal branches with a capillary blush of the dura. Blank fluoroscopic roadmap image in the same lateral projection demonstrates the Onyx-18 injection from this catheter position with extensive and distal casting of the targeted branch with backfilling of the adjacent regional meningeal branch vessels (C). Oblique radiograph (D) after embolization of the right sided meningeal branches demonstrating the conspicuity of the distribution of the liquid embolysate throughout the targeted meningeal branches over the right convexity. David Fiorella, and Adam S Arthur J NeuroIntervent Surg doi: /neurintsurg Copyright © Society of NeuroInterventional Surgery. All rights reserved.

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