Abstract
Objective: We report a case of the growing acute epidural hematoma treated by embolization of the middle meningeal artery.Case Presentations: An 18-year-old man was admitted with head trauma sustained in a traffic accident. Initial CT revealed a linear fracture and a small epidural hematoma in the left frontal region. As the hematoma was small and neurological deficits were absent, it was treated conservatively. A second CT assessment 3 h later showed that the hematoma had enlarged and external carotid angiography showed extravasation from the frontal branch of the middle meningeal artery. Embolization of the middle meningeal artery gradually decreased the hematoma.Conclusion: Embolization of the middle meningeal artery effectively treated a small acute epidural hematoma.