{
  "abstract": "Objective: To compare the efficacy, safety, and resource utilization of middle meningeal artery embolization (MMAE), burr hole drainage (BHD), and neuroendoscopic-assisted evacuation with middle meningeal artery disconnection (NE-MMAD) for chronic subdural haematoma (CSDH).\n\nMethods: A retrospective analysis was performed on 265 patients with CSDH, divided into MMAE ( n = 46), BHD ( n = 152), and NE-MMAD ( n = 67) groups. The primary outcome was the 6-month recurrence rate. Secondary outcomes included neurological improvement rate, reoperation rate, operation time, hospital stay, number of imaging follow-ups, and complications.\n\nResults: The recurrence rates for MMAE and NE-MMAD (4.35 and 4.48%, respectively) were significantly lower than that for BHD (19.74%, p = 0.001). The neurological improvement rate was highest in the NE-MMAD group (88.06%, p = 0.003). The reoperation rates for MMAE and NE-MMAD were both lower than that for BHD ( p = 0.002). In the MMAE group, 5 patients (10.87%) underwent salvage BHD due to delayed resolution of mass effect. MMAE had the shortest operation time (31 min) and hospital stay (7 days), while NE-MMAD had the longest operation time (70 min); both MMAE and NE-MMAD required fewer imaging follow-ups than BHD (all p < 0.05). No significant difference in complication rates was observed among the three groups; however, one patient in the MMAE group experienced permanent blindness due to inadvertent embolization through a dangerous anastomosis.\n\nConclusion: In this cohort, MMAE and NE-MMAD were associated with lower recurrence compared with BHD, and NE-MMAD was associated with the greatest neurological improvement. BHD may be preferred for first-onset, non-septated haematomas; MMAE may be preferred for older patients or those with coagulopathy, but the risk of blindness warrants caution; NE-MMAD may be preferred for septated, organized, recurrent, and markedly space-occupying haematomas. Clinical decision-making should integrate haematoma characteristics, patient status, and available medical resources to guide individualized stratified treatment.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurosurgery, Capital Medical University Affiliated Beijing Anzhen Hospital Nanchong Hospital",
    "Department of Neurosurgery, Guangyuan Central Hospital"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Xudong Song"
    },
    {
      "affs": [
        0
      ],
      "name": "Yuan Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Bo Luo"
    },
    {
      "affs": [
        1
      ],
      "name": "Xiyuan Tang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/asjr7rye5w946.bib",
  "cited_by": 0,
  "doi": "10.3389/fneur.2026.1975364",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13724487/?tool=EBI",
  "id": "asjr7rye5w946",
  "issns": [
    "1664-2295"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fneur.2026.1975364/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2728|Neurosurgical Procedures and Complications"
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  "openalex": "W7222969297",
  "pdf_url": "https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2026.1975364/pdf",
  "pmcid": "PMC13724487",
  "pmid": "42973556",
  "published": "2026-10-19",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/asjr7rye5w946.ris",
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    {
      "first_seen": "2026-10-30T12:20:16Z",
      "native_id": "10.3389/fneur.2026.1975364",
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      "url": "https://www.frontiersin.org/articles/10.3389/fneur.2026.1975364/full"
    },
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13724487",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13724487"
    },
    {
      "first_seen": "2026-11-04T12:23:03Z",
      "native_id": "PMC13724487",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fneur.2026.1975364"
    },
    {
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2728|Neurosurgical Procedures and Complications",
      "subfield": "neurology"
    }
  ],
  "title": "Comparative outcomes of middle meningeal artery embolization, burr hole drainage, and neuroendoscopic-assisted evacuation with MMA disconnection for chronic subdural haematoma: a multicenter retrospective cohort study",
  "title_text": "Comparative outcomes of middle meningeal artery embolization, burr hole drainage, and neuroendoscopic-assisted evacuation with MMA disconnection for chronic subdural haematoma: a multicenter retrospective cohort study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:20:57Z",
  "url": "https://research.draconitic.com/paper/asjr7rye5w946",
  "venue": "Frontiers in Neurology",
  "versions": []
}