Repeated Middle Meningeal Artery Embolization for Chronic Subdural Hematoma Management: Case Report

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments:

The case description is adequate. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. It also adequately discusses the literature. The study aptly recommends that in situations of middle meningeal artery (MMA) embolization failure with incomplete distal embolysate penetration, repeat angiography should be considered to determine if more extensive embolization is possible. The study finally Concludes that liquid embolization is more effective than coil embolization in halting anterograde filling of the MMA and retrograde filling from external circulation collaterals in patients with chronic subdural hematoma (SDH).

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Very good

Further comments on the paper

Comments: This case report presents a unique case of a patient with a chronic subdural hematoma (SDH) previously treated unsuccessfully via burr holes and middle meningeal artery (MMA) coil embolization. This study holds significance as guidance on operative techniques in situations of prior embolization failure is rare and comparative analysis of various endovascular techniques for embolization is lacking in the literature. There is only one other case report in literature which has discussed management of patients with chronic SDHs that have failed MMA embolization. The present report highlights the advantages of the Onyx liquid embolysate over coil embolization in patients with chronic SDH.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team