Abstract

A 20-year-old man was admitted with several epileptic seizures. At age 4 months, he had presented with hydrocephalus heralding a benign pineal tumor, and underwent ventriculoatrial shunting. Afterwards, he no longer sought medical care. On admission, the physical examination demonstrated a large head circumference and a chronic right hemiparesis. A CT scan revealed a calcified chronic subdural hematoma (figure, A and B).1 Surgical intervention was withheld in favor of medical management with antiepileptic medications. He reports no further seizures. The proper …

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