Middle Meningeal Artery Embolization in the Management of Chronic Subdural Hematoma: a Comprehensive Review of Current Literature

Désir, Likowsky L; Narayan, Vinayak; Ellis, Jason A.; Gordon, David; Langer, David; Ortiz, Rafael; Serulle, Yafell

doi:10.1007/s11910-023-01262-6

Cited by 6 publications

(2 citation statements)

References 90 publications

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“…Prevailing theories implicating angiogenesis, inflammation and hyperfibrinolysis are the mechanisms behind reoccurrence ( Edlmann et al, 2017 ; Wu et al, 2023 ). Based on these theories, Inflammation, angiogenesis and hyperfibrinolysis have been targeted with treatments ( Huang et al, 2020 ; Desir et al, 2023 ). Nonetheless, recurrence rates remain disconcertingly high, necessitating the discovery of novel treatment targets.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of traditional herbal Kampo medicine Goreisan on chronic subdural hematoma recurrence: a meta-analysis

Yang,

Zeng,

et al. 2024

Front. Pharmacol.

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Objectives: Our objective was to compare the effectiveness of Traditional Chinese herbal Kampo medicine Goreisan in improving recurrence in patients with chronic subdural hematoma (CSDH).Methods: Eligible randomized controlled trials prospective trials, and retrospective cohort studies were systematically identified through searches of PubMed, Cochrane Library, and CNKI from inception to March 2024. Following the application of predetermined inclusion and exclusion criteria to screen the available studies, main outcome measures were rigorously extracted. RevMan v5.4 software was utilized to evaluate the overall recurrence rate, employing a random-effects model to calculate pooled odds ratios with the Mantel-Haenszel estimation method. Inter-study heterogeneity was assessed using the Cochran Q (Chi-square) test and I2 statistics. Funnel plots were used to evaluate publication bias.Results: Among the 48 articles initially screened for citation, eight were ultimately selected for inclusion in the study. The results of our network meta-analysis indicate that patients with newly diagnosed Chronic subdural hematoma experienced a significantly reduced recurrence rate when treated with Goreisan compared to standard neurosurgical treatment (OR: 0.72; 95% CI 0.61–0.86; p = 0.00003). There was no statistically significant difference in the incidence rates of complications, including general fatigue, allergic reactions, hepatic dysfunction, and interstitial pneumonia (OR: 7.21; 95% CI 0.37–141.29; p = 0.19).Conclusion: Traditional medicine Goreisan was effective in reducing CDSH recurrence rates. For clinical treatment, it provides a high level of evidence-based medicine. It is also necessary to conduct multicenter randomized controlled trials with dose adjustments to determine whether Goreisan interventions improve neurological function or prognosis.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of traditional herbal Kampo medicine Goreisan on chronic subdural hematoma recurrence: a meta-analysis

Yang,

Zeng,

et al. 2024

Front. Pharmacol.

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“…The fundamental question is when confronted with a CSDH, what to choose from a menu of multiple medical (dexamethasone, tranexamic acid, and NSAIDS), endovascular (middle meningeal artery embolization), or surgical (bedside drain, burr-hole irrigation, and craniotomy) choices. 2-13 Current management is usually prescribed for an older patient usually on anticoagulant/antiplatelet medications with a high frailty index. One crucial question is how to select candidates for burr-hole surgery.…”

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confidence: 99%

Commentary: Recurrent Chronic Subdural Hematoma After Burr-Hole Surgery and Postoperative Drainage: A Systematic Review and Meta-Analysis

Aarabi

2023

Operative Neurosurgery

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Charlson Comorbidity Index and Frailty as Predictors of Resolution Following Middle Meningeal Artery Embolization for Chronic Subdural Hematoma

Chaliparambil,

Nandoliya,

Jahromi

et al. 2024

World Neurosurgery

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Middle Meningeal Artery Embolization in the Management of Chronic Subdural Hematoma: a Comprehensive Review of Current Literature

Cited by 6 publications

References 90 publications

Effectiveness of traditional herbal Kampo medicine Goreisan on chronic subdural hematoma recurrence: a meta-analysis

Effectiveness of traditional herbal Kampo medicine Goreisan on chronic subdural hematoma recurrence: a meta-analysis

Commentary: Recurrent Chronic Subdural Hematoma After Burr-Hole Surgery and Postoperative Drainage: A Systematic Review and Meta-Analysis

Charlson Comorbidity Index and Frailty as Predictors of Resolution Following Middle Meningeal Artery Embolization for Chronic Subdural Hematoma

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