Abstract
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. 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. 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.
Highlights
Chronic calcified/ossified subdural hematoma is a rare diagnosis
Chronic subdural hematoma is defined as collection of blood on the brain's surface, under the outer covering of the brain presenting more than 21 days, usually after injury[7]
History of trauma could be obtained in a majority of cases, some cases may occur secondary to intracranial hypotension, overdrainage in hydrocephalus treatment, use of anticoagulants and antiplatelet drugs and coagulation defects
Summary
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. 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. Subdural hematoma was successfully removed, resulting in a good recovery with complete resolution of patients symptoms. We highly recommend surgical treatment in cases of chronic symptomatic calcified subdural hematomas
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