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I am a Neurosurgeon, doing all kinds of brain and spine surgeries. Specially endovascular coiling of aneurysm, embolization of AVM's dural AV fistulas, carotid stenting.

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Newer Intervention

Newer Neurointervention: Middle Meningeal Artery Embolization for SDH – Dr. D.P. Sharma

Subdural Hematoma (SDH) is a collection of blood between the dura and arachnoid layers of the brain’s protective membranes. Dr. D.P. Sharma (MBBS, MS, M.Ch Neurosurgery, Fellow Endovascular Surgery) in Jaipur specializes in minimally invasive, image-guided treatments such as Middle Meningeal Artery (MMA) embolization, a newer neurointervention procedure designed to reduce recurrence and promote faster recovery.

What is Subdural Hematoma (SDH)?

SDH occurs when blood collects between the dura and arachnoid layers, usually following trauma, minor head injury, or in patients on blood thinners. Chronic SDH may slowly expand and cause pressure on the brain, leading to neurological symptoms.

Symptoms of SDH

  • Headache
  • Nausea or vomiting
  • Weakness on one side of the body
  • Difficulty with speech or memory
  • Confusion or drowsiness
  • Seizures (in some cases)

Why Middle Meningeal Artery Embolization is Done:-

MMA embolization is performed to block the artery that feeds the hematoma’s outer membrane, preventing further bleeding and reducing recurrence. This procedure is particularly effective for chronic SDH or patients at high risk for surgical complications.

Middle Meningeal Artery Embolization Procedure

Definition:A minimally invasive, image-guided procedure where a catheter is used to deliver embolic agents to the middle meningeal artery to stop blood supply to the SDH membrane.

Process: A micro-catheter is inserted through a small puncture in the groin or wrist and navigated to the MMA under angiographic guidance. Embolic agents such as particles, glue, or Onyx are delivered to occlude the artery feeding the hematoma.

Recovery:Patients are usually monitored in hospital for 24–48 hours. Most experience minimal discomfort and can resume normal activities within a few days. Follow-up imaging ensures the hematoma is resolving.

When to consult doctor: Immediate consultation is needed if you notice headaches, confusion, weakness, or any neurological deficits after head trauma, or if you have known chronic SDH.

Benefits of MMA Embolization over Traditional Surgery

  • Minimally invasive – avoids large craniotomy
  • Reduced risk of infection and surgical complications
  •  Faster recovery and shorter hospital stay
  • Lower recurrence rates for chronic SDH

Why Choose Dr. D.P. Sharma for MMA Embolization in Jaipur?

Dr. Sharma is an expert in advanced neurointervention with extensive experience in endovascular techniques. Using state-of-the-art imaging and precision micro-catheter techniques, he ensures safe and effective treatment for patients with SDH.

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FAQ's

Yes, this minimally invasive procedure is ideal for patients who may not tolerate open surgery.

Most patients can go home within 1–2 days and resume normal activities shortly after, with follow-up imaging to monitor resolution.

Recurrence is significantly lower than with conventional surgery, especially in chronic SDH cases.