Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2020, 164(2):209-212 | DOI: 10.5507/bp.2019.041
Chronic calcified subdural hematoma - case report of a rare diagnosis
- Clinic of Neurosurgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava and University Hospital in Martin, Martin, Slovak Republic
Introduction: Chronic calcified/ossified subdural hematoma is a rare diagnosis. The incidence of chronic calcified subdural hematoma is 0.3-2.7% of all chronic subdural hematomas. Surgical treatment is indicated in most cases, but there is still some controversy.
Materials and Methods: We present a case report of 81-year-old woman with calcified chronic subdural hematoma. Patient underwent an osteoplastic left craniotomy, evacuation of chronic subdural mass with careful dissection andsuccessful removal of inner and outer membrane. Postoperative CT scan showed removal of subdural hematoma, decrease of left shift of median line and good brain re-expansion. Postoperative period was without any serious complications.
Results: Subdural hematoma was successfully removed, resulting in a good recovery with complete resolution of patients symptoms. From our experience, we highly recommend surgical treatment in cases of chronic symptomatic calcified subdural hematomas.
Keywords: subdural hematoma, ossified, calcified, surgical treatment
Received: May 22, 2019; Accepted: August 12, 2019; Prepublished online: September 26, 2019; Published: June 18, 2020 Show citation
References
- Ludwig B, Nix W, Lanksch W. Computed tomography of the "armored brain". Neuroradiology 1983;25:39-43.
Go to original source...
Go to PubMed...
- Yamada K, Ohta T, Takatsuka H, Yamaguchi K. High-field magnetic resonance image of a huge calcified chronic subdural haematoma, so-called "armoured brain". Acta Neurochir (Wien) 1992;114:151-3.
Go to original source...
Go to PubMed...
- Oda S, Shimoda M, Hoshikawa K, Shiramizu H, Matsumae M. Organized Chronic Subdural Haematoma with a thick calcified inner membrane successfully treat by surgery: A case report. Tokai J Exp Clin Med 2010;3:85-8.
- Yamashima T, Yamamoto S, Friede RL. The role of endothelial gap junctions in the enlargement of chronic subdural hematomas. J Neurosurg 1983;59:298-303.
Go to original source...
Go to PubMed...
- Sakamoto T, Hoshikawa Y, Hayashi T, Taguchi Y, Sekino H. Inner membrane preservation surgery for organized or calcified chronic subdural hematoma. Jpn J Neurosurg (Tokyo) 2000;9:541-6.
- Pruna V, Bucur N, Neacsu A, Voina A, Andrei G, Sandu A, Gorgan M. Calcified chronic subdural haematoma - Case report. Roman Neurosurg 2010;15:22-5.
- Turgut M, Palaoglu S, Saglam S. Huge ossified crust-like subdural hematoma covering the hemisphere and causing acute signs of increased intracranial pressure. Childs Nerv Syst 1997;13:415-7.
Go to original source...
Go to PubMed...
- Gelabert-Gonzalez M, Iglesias-Pais M, Garcia-Allut A, Martinez-Rumbo R. Chronic subdural haematoma: surgical treatment and outcome in 1000 cases. Clin Neurol Neurosurg 2005;107:223-9.
Go to original source...
Go to PubMed...
- Park JS, Son EI, Kim DW, Kim SP. Calcified Chronic Subdural Haematoma Associated with intracerebral haematoma. J Korean Neurosurg 2003;34:177-8.
- Watts C. The management of intracranial calcified subdural hematomas. Surg Neurol 1976;6:247-50.
- Sgaramella E, Sotgiu S, Miragliotta G, Fotios Kalfas Crotti FM. "Matrioska head". Case report of calcified chronic subdural hematoma. J Neurosurg Sci 2002;46:28-31.
Go to PubMed...
- Yamashima T. The inner membrane of chronic subdural hematomas: pathology and pathophysiology. Neurosurg Clin N Am 2000;11:413-24.
Go to original source...
Go to PubMed...
- Mosberg WH, Jr, Smith GW. Calcified solid subdural hematoma; review of literature and report of an unusual case. J Nerv Ment Dis 1952;115:163-73.
Go to original source...
- Yang H, Tseng S, Chen Y, Lin S, Chen J. Calcified chronic subdural hematoma - Case report. Tzu Chi Med J 2004;16:261-5.
- Mori K, Maeda M. Surgical treatment of chronic subdural hematoma in 500 consecutive cases: clinical characteristics, surgical outcome, complications, and recurrence rate. Neurol Med Chir (Tokyo)2001;41:371-81.
Go to original source...
Go to PubMed...
- Yan HJ, Lin KE, Lee ST, Tzaan EC. Calcified chronic subdural hematoma: Case report. Changgeng Yi Xue Za Xhi 1998;21:521-5.
- Ito H, Yamamoto S, Komai T, Mizukoshi H. Role of local hyperfibrinolysis in the etiology of chronic subdural hematoma. J Neurosurg 1976;45:26-31.
Go to original source...
Go to PubMed...
- Kondo S, Okada Y, Iseki H, Hori T, Takakura K, Kobayashi A, Nagata H. Thermological study of drilling bone tissue with a high-speed drill. Neurosurgery 2000;46:1162-8.
Go to original source...
Go to PubMed...
- Niwa J, Nakamura T, Fujishige M, Hashi K. Removal of a large asymptomatic calcified chronic subdural hematoma. Surg Neurol 1988;30:135-9.
Go to original source...
Go to PubMed...
- Kaplan M, Akgun B, Seçer HI. Ossified Chronic Subdural Haematoma with Armored Brain. Turk Neurosurg 2008;4:420-4.
- Pappamikail L, Rato R, Novais G, Bernardo E. Chronic calcified subdural hematoma: Case report and review of the literature. Surg Neurol Int 2013;4:21.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.