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Middle Meningeal Artery (MMA) Embolisation in Kanakapura Road | Manipal Hospitals

Middle Meningeal Artery (MMA) Embolization

Middle Meningeal Artery (MMA) Embolisation in Kanakapura Road

A lingering headache after a fall is easy to dismiss, especially in older adults. But sometimes, the real problem is not the injury you can see, it is the one quietly building underneath. Chronic subdural hematomas can slowly press on the brain, causing confusion, weakness, drowsiness, or a change in balance that feels subtle at first. At Manipal Hospital Kanakapura Road, we approach this condition with a treatment plan that is calm, precise, and minimally invasive. For many patients, middle meningeal artery (MMA) embolisation in Kanakapura Road, Bangalore, offers a modern alternative to traditional surgery, helping reduce recurrence and support recovery with less disruption.

How It Works

Middle meningeal artery embolisation is designed for chronic subdural hematoma, a condition where old blood collects on the brain’s surface and keeps reappearing because the surrounding membranes remain fragile. Instead of opening the skull to remove the collection, the procedure targets the blood supply feeding those membranes.

The treatment is performed by a neurointerventional specialist using image guidance. A thin catheter is introduced through a blood vessel, usually from the groin or wrist, and carefully advanced to the middle meningeal artery. Once the catheter reaches the right position, tiny particles or a liquid embolic agent are released to block the artery. This reduces blood flow to the leaky membranes that sustain the hematoma.

With the supply cut off, the body is able to gradually reabsorb the old blood over time. For many patients, this also lowers the chance of the hematoma coming back. The approach is especially valuable for older adults, people on blood thinners, or those who may not be ideal candidates for open surgery. It is a focused treatment, but its effect can be significant because it addresses the source of the problem rather than only the collection itself.

Benefits

The shift to embolisation for chronic subdural hematomas has changed outcomes for many patients. Key benefits include:

  • A minimally invasive option that avoids a larger surgical opening

  • Reduced risk of recurrence in selected chronic subdural hematoma cases

  • Shorter recovery time compared with traditional operative drainage

  • A targeted approach that shuts down the vessel feeding the hematoma

  • Suitable for many patients who may not tolerate major surgery well

What to Expect

From the first consultation to follow-up, the experience is structured around safety, clarity, and steady progress. The goal is to help patients and families understand what is happening, why it matters, and what comes next.

Initial Evaluation

The process usually begins with a detailed neurological assessment and brain imaging, often a CT scan. This helps the team confirm the diagnosis, measure the size of the collection, and decide whether embolisation is appropriate.

Procedure Planning

Once the case is reviewed, the team explains the anatomy, the treatment goal, and the expected recovery path. Blood-thinning medicines, other health conditions, and prior scans are also taken into account before the procedure is scheduled.

The Embolisation Procedure

On the day of treatment, the patient is monitored closely while the neurointerventional team inserts a catheter into the bloodstream and guides it to the middle meningeal artery. Embolic material is then delivered to block the vessel and reduce blood flow to the hematoma membranes.

Observation and Recovery

After the procedure, the patient is observed for neurological stability, groin or wrist site care, and any immediate changes in symptoms. Most patients continue their recovery with follow-up scans to track how the hematoma is shrinking.

Follow-Up Care

Recovery does not end when the procedure is over. The care team watches symptoms, reviews imaging, and adjusts medicines when needed. If rehabilitation is needed, it is planned early so the patient can regain strength and confidence at a realistic pace.

Why Manipal Hospital

Patients and families often want more than a procedure. They want a team that explains the condition clearly, acts quickly, and stays attentive after treatment. At Manipal Hospital Kanakapura Road, the middle meningeal artery embolisation procedure in Kanakapura Road is supported by a coordinated team that includes interventional neuroradiologists, neurologists, emergency physicians, intensive care specialists, and rehabilitation experts. That combination matters when the condition is complex and the patient is vulnerable.  Here is what makes our approach so unique that we are amongst the most preferred hospitals for MMA embolisation care:

  • An Interventional Neuroradiology team with specialised experience in navigating the middle meningeal artery, understanding its variants, and delivering embolic agents precisely where they are needed

  • Access to a high-resolution bi-plane angiography suite that provides live road mapping, allowing us to navigate microcatheters into the tiny branches of the MMA with confidence

  • Expertise in selecting the right embolic agent, whether particles or liquid embolics, based on the vascularity of the membranes and the pattern of blood supply

  • A collaborative approach with neurosurgeons who remain involved for patients who may need drainage in addition to embolisation, particularly when the hematoma is large and causing significant mass effect

  • Staged management protocols for patients with bilateral or recurrent hematomas, where embolisation can be performed on both sides in separate sessions

  • Post-procedural monitoring in a dedicated neuro-intensive care unit, where we manage blood pressure and watch for any neurological changes

Speciality - Interventional Neuroradiology 

Our Interventional Neuroradiology team focuses on minimally invasive treatment for blood vessel and brain-related conditions. For chronic subdural hematoma, the aim is not just to relieve pressure, but to interrupt the cycle that allows the collection to return. The team uses advanced imaging, detailed planning, and precise catheter-based techniques to deliver treatment with accuracy and care.

Services Offered

We provide comprehensive evaluation and catheter-based management for chronic subdural hematoma, including imaging review, embolisation planning, procedure execution, post-procedure observation, and follow-up imaging. The service is designed for patients who need a minimally invasive option, especially when recurrence risk, age, or medical conditions make surgery less suitable.

Facilities and Services

The infrastructure for MMA Treatment in Kanakapura Road, Bangalore, at our hospital  is designed to support the precision and safety that this emerging treatment requires:

  • A bi-plane digital subtraction angiography suite with three-dimensional rotational angiography, providing detailed mapping of the MMA and its branches to guide superselective catheterisation

  • An Interventional Neuroradiology team with specialised experience in navigating the external carotid system and understanding the variants of MMA anatomy

  • Integration with neurosurgical services for patients who require combined drainage, ensuring seamless coordination between the two approaches

  • A neuro-intensive care unit staffed by specialists trained in post-embolisation management, including blood pressure control and neurological monitoring

  • On-site advanced imaging, including CT and MRI, to assess the size of the hematoma before the procedure and confirm resolution on follow-up

  • Rehabilitation referral pathways for patients who need balance or strength recovery

  • Family counselling support to explain the procedure and recovery timeline

Get precise MMA treatment in Kanakapura Road Bangalore at Manipal Hospital with catheter-based embolisation to manage chronic subdural hematoma safely and support faster recovery

FAQ's

It is a slow blood collection on the brain’s surface, often after a minor fall. The membrane around it can keep bleeding, which is why embolisation helps reduce recurrence.

Most patients feel only mild discomfort from the access site. The procedure is done with close monitoring, and many people recover with less strain than open surgery.

It is commonly considered for older adults, patients on blood thinners, or those with recurrent chronic subdural hematoma. The team reviews scans and medical history before deciding.

Some patients notice gradual improvement within days, while others improve more slowly as the blood collection shrinks. Follow-up scans help track healing over time.

Not always, but some patients do. If walking, balance, or memory have been affected, the team may recommend rehabilitation at Manipal Hospital Kanakapura Road to support recovery.

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