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02 July 2023: Articles

Single Pterional Burr Hole Coupled with Coagulation of the Middle Meningeal Artery for Management of a Chronic Subdural Hematoma in a 98-Year-Old Patient: Illustrative Case

Management of emergency care

Erico R. Cardoso A*

DOI: 10.12659/AJCR.940045

Am J Case Rep 2023; 24:e940045

Figure 2. Intraoperative method used for localization of the middle meningeal artery (MMA): measurements to establish the zygomatic-meatal angle on (A) a human skull and (B) at the time of surgery. (C) Intraoperative fluoroscopic confirmation of the site of calvarial entry of the MMA. One should avoid a perfect lateral exposure by tilting the C-arm exposure, which separates the orbital roofs (arrows 1 and 2) as well as the contra-lateral (arrow 3) and ipsilateral grooves (arrow 4) for the MMA.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923