{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T09:57:48Z","timestamp":1772618268255,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report a case of acute epidural hematoma (AEDH) successfully treated with middle meningeal artery (MMA) embolization. A 59-year-old man presented with headache 2 days after minor head trauma. Head computed tomography (CT) revealed a left-sided AEDH with an associated skull fracture. Although the patient had only mild disturbance of consciousness and no focal neurological deficits, the hematoma volume was significant. Given the absence of mass effect and to prevent further hematoma expansion, emergent MMA embolization was performed via a transradial approach under local anesthesia. Angiography demonstrated contrast extravasation from the MMA, which was successfully embolized using 20% n-butyl-2-cyanoacrylate. The patient's postoperative course was uneventful, and the hematoma showed near-complete resolution on follow-up CT 1 month later. This case highlights the potential utility of MMA embolization as a minimally invasive and effective treatment option for select AEDH cases that do not require emergency craniotomy.<\/jats:p>","DOI":"10.1055\/s-0045-1811712","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T23:42:41Z","timestamp":1758238961000},"page":"063-066","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Acute Epidural Hematoma Successfully Treated with Middle Meningeal Artery Embolization"],"prefix":"10.1055","volume":"21","author":[{"given":"Akihiro","family":"Shimoi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Brain and Blood Vessels, Isesaki, Gunma-ken, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0764-6413","authenticated-orcid":false,"given":"Keisuke","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Brain and Blood Vessels, Isesaki, Gunma-ken, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Brain and Blood Vessels, Isesaki, Gunma-ken, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuma","family":"Kowata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Brain and Blood Vessels, Isesaki, Gunma-ken, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Akaji","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Institute of Brain and Blood Vessels, Isesaki, Gunma-ken, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"issue":"03","key":"ref1","first-page":"145","article-title":"Two cases of vertebral artery origin stenosis treated with self-expanding stents","volume":"4","author":"Y Kaneshiro","year":"2019","journal-title":"Neuroendovasc Ther Case Rep"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"392","DOI":"10.3171\/jns.1989.70.3.0392","article-title":"The management of \u201casymptomatic\u201d epidural hematomas. A prospective study","volume":"70","author":"N W Knuckey","year":"1989","journal-title":"J Neurosurg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.12.004","article-title":"The natural history of vertebral artery origin stenosis","volume":"23","author":"MC Thompson","year":"2014","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"208","DOI":"10.2176\/nmc.48.208","article-title":"Endovascular treatment for traumatic ear bleeding associated with acute epidural hematoma","volume":"48","author":"K Misaki","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.3171\/2008.7.JNS0883","article-title":"Embolization of the middle meningeal artery for the treatment of epidural hematoma","volume":"110","author":"I B Ross","year":"2009","journal-title":"J Neurosurg"},{"issue":"07","key":"ref6","first-page":"1177","article-title":"Efficacy of endovascular surgery for the treatment of acute epidural hematomas","volume":"25","author":"S Suzuki","year":"2004","journal-title":"AJNR Am J Neuroradiol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.5797\/jnet.cr.2025-0015","article-title":"The utility of preoperative CT angiography for middle meningeal artery embolization in acute epidural hematoma","volume":"19","author":"K Suzuki","year":"2025","journal-title":"J Neuroendovasc Ther"},{"issue":"11","key":"ref8","doi-asserted-by":"crossref","first-page":"829","DOI":"10.2176\/nmc.52.829","article-title":"Combined endovascular and endoscopic surgery for acute epidural hematoma in a patient with poor health","volume":"52","author":"T Ohshima","year":"2012","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"ref9","first-page":"S7","article-title":"Surgical management of acute epidural hematomas","volume":"58","author":"M R Bullock","year":"2006","journal-title":"Neurosurgery"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"322","DOI":"10.25259\/SNI_939_2020","article-title":"Traumatic epidural hematoma treated with endovascular coil embolization","volume":"12","author":"M T Madison","year":"2021","journal-title":"Surg Neurol Int"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.3171\/2016.11.JNS161398","article-title":"Endovascular management of acute epidural hematomas: clinical experience with 80 cases","volume":"128","author":"C MA Peres","year":"2018","journal-title":"J Neurosurg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"109704","DOI":"10.1016\/j.ijscr.2024.109704","article-title":"The effectiveness of palliative middle meningeal artery embolization prior to craniotomy for large acute epidural hematoma: a case report","volume":"118","author":"Y Hirata","year":"2024","journal-title":"Int J Surg Case Rep"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1811712.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T05:32:16Z","timestamp":1772602336000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1811712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,3,3]]},"published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1811712","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,18]]}}}