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Calcified chronic subdural hematoma: case report.

H J Yan1, K E Lin, S T Lee

  • 1Department of Neurosurgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi
|March 13, 1999
PubMed
Summary
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This study details a rare case of calcified chronic subdural hematoma in an unusual location. Surgical removal improved seizure control in a young adult patient.

Area of Science:

  • Neurosurgery
  • Neuroradiology
  • Neurology

Background:

  • Chronic subdural hematoma (CSH) is typically found along the cerebral convexity.
  • Calcified or ossified CSH is an exceptionally rare presentation of this condition.
  • Unusual locations for CSH can pose diagnostic challenges.

Observation:

  • A 24-year-old male presented with worsening seizures.
  • Imaging revealed a fusiform extra-axial lesion superior to the tentorium and adjacent to the cerebral falx.
  • The lesion was identified as a calcified and ossified chronic subdural hematoma.

Findings:

  • Surgical resection of the calcified and ossified CSH was performed via craniotomy.
  • Complete or near-complete removal of the lesion was achieved.

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  • Post-operative improvement in seizure control was observed.

    • Implications:

    • This case highlights an atypical location for calcified chronic subdural hematoma.
    • Accurate diagnosis and surgical management can lead to improved neurological outcomes, specifically seizure control.
    • Differential diagnoses for extra-axial calcified lesions should include this rare entity.