Features of MR angiography of the middle meningeal artery in chronic subdural hematoma and its relationship with prognosis: clinical report of 41 cases

Yin NIU; Jiafei CHEN; Zhouyang JIANG; Jishu XIAN; Gang ZHU; Hua FENG; Zhi CHEN

doi:10.16016/j.2097-0927.202112224

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Features of MR angiography of the middle meningeal artery in chronic subdural hematoma and its relationship with prognosis: clinical report of 41 cases

Clinical Medicine | 更新时间：2026-01-09

- Features of MR angiography of the middle meningeal artery in chronic subdural hematoma and its relationship with prognosis: clinical report of 41 cases
- Journal of Army Medical University Vol. 44, Issue 12, Pages: 1249-1254(2022)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：神经外科，全军神经外科研究所，精准神经医学与神经再生修复重庆市重点实验室
  2.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：放射科
- 作者简介：
- 基金信息：
  
  the Key Supporting Project of Excellent Talent Pool of Army Medical University(xz-2019-505-002);the Special Project of Science and Technology Innovation Capability Improvement of Army Medical University(2019XYY12)
- DOI：10.16016/j.2097-0927.202112224
  CLC： R445.2;R322.121;R651.15
- Received：25 December 2021，
  
  Revised：2022-01-15，
  
  Published：30 June 2022
- 稿件说明：
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Yin NIU, Jiafei CHEN, Zhouyang JIANG, et al. Features of MR angiography of the middle meningeal artery in chronic subdural hematoma and its relationship with prognosis: clinical report of 41 cases[J]. Journal of Army Medical University, 2022, 44(12): 1249-1254.
DOI：

Yin NIU, Jiafei CHEN, Zhouyang JIANG, et al. Features of MR angiography of the middle meningeal artery in chronic subdural hematoma and its relationship with prognosis: clinical report of 41 cases[J]. Journal of Army Medical University, 2022, 44(12): 1249-1254. DOI： 10.16016/j.2097-0927.202112224.

摘要

目的

通过磁共振血管成像(MR angiography，MRA)明确慢性硬膜下血肿(chronic subdural hematoma，CSDH)患者脑膜中动脉(middle meningeal artery，MMA)管径特征，以及MMA管径与CSDH患者预后的关系。

方法

采用回顾性匹配对照研究分析2014年5月至2021年5月我院收治的CSDH患者临床资料，在脑动脉三维时间飞越法(3D time of flight，3D TOF) MRA检查上测量CSDH患者MMA管径并与匹配的健康人进行对比，并对钻孔引流术后复发侧与非复发侧MMA管径进行比较。

结果

41例CSDH患者中56侧血肿侧MMA管径明显大于26侧非血肿侧MMA管径(

0.01)，并大于所匹配41例健康人82侧MMA管径(

0.01)，CSDH患者非血肿侧MMA管径也大于健康人MMA管径(

0.01)；11例双侧CSDH患者出血较多侧与出血较少侧MMA管径比较无明显差异(

=0.18)；钻孔引流术后复发9例12侧MMA管径明显大于非复发14例18侧MMA管径(

0.01)。

结论

CSDH患者出血侧MMA明显增粗，钻孔引流术后复发侧MMA增粗更明显，提示MMA管径与CSDH的发生及发展有关，并与CSDH患者预后相关。

Abstract

Objective

To determine the vascular diameter of middle meningeal artery (MMA) in patients with chronic subdural hematoma (CSDH) by magnetic resonance angiography (MRA)

and investigate its relationship with patient's prognosis.

Methods

Clinical data of 41 CSDH patients admitted to our hospital from May 2014 to May 2021 were retrospectively collected and analyzed in this retrospective matched control study. The MMA diameter was obtained by 3D time-of-flight (3D TOF) MRA

and the results of CSDH patients were compared with those of matched healthy controls. After burr hole and drainage

the MMA diameters on the recurrent side were compared with those on the non-recurrent side.

Results

Among the 41 CSDH patients

the 56 MMA diameters on CSDH side were significantly larger than the 26 MMA diameters on non-CSDH side (

0.01)

and were larger than the 82 MMA diameters in 41 matched healthy subjects (

0.01). In addition

the MMA diameter on non-CSDH side of the 41 CSDH patients was also larger than that in healthy subjects (

0.01). There was no significant difference in MMA diameter between the CSDH side with larger bleeding amount and the CSDH side with less in the 11 bilateral

CSDH patients (

=0.18). After burr hole and drainage

the 12 MMA diameters in 9 recurrent cases were significantly larger than the 18 MMA diameters in 14 non-recurrent cases (

0.01).

Conclusion

In CSDH patients

the MMA on the CSDH side is significantly thickened

and it on the recurrent side is more obvious than that on the non-recurrent side after burr hole and drainage

suggesting that MMA diameter might be associated with the occurrence and development of CSDH and the prognosis of patients.

关键词

Keywords

references

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