Letter: 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

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

“…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.…”

“…We thank Lu et al 1 for their interest in our article. 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.…”

“…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.…”

“…We thank Lu et al 1 for pointing out these important considerations and look forward to seeing the pediatric neurosurgical community continue to study the indications, efficacy, and risks of pediatric MMA embolization.…”