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Ossified chronic subdural hematoma.
Han Gun Moon1, Hyung Shik Shin, Tae Hong Kim
1Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Yonsei Medical Journal
|October 30, 2003
Summary
This case study presents a rare ossified chronic subdural hematoma (SDH) that mimicked a stroke. Surgical removal of the ossified SDH led to a full neurological recovery.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Chronic subdural hematoma (SDH) is a collection of blood that can ossify over time.
- Ossified SDH is a rare condition that can present with neurological deficits.
- Distinguishing ossified SDH from other intracranial pathologies is crucial for appropriate management.
Observation:
- A 67-year-old male presented with symptoms suggestive of a cerebral stroke, including headache, dysphasia, and left-sided hemiparesis.
- Skull X-ray, CT, and MRI revealed a large ossified subdural hematoma encasing the right cerebral hemisphere.
- Intraoperatively, severe adhesions were noted between the pia mater and the ossified mass, which had hard rims and a soft center.
Findings:
- Surgical resection of the ossified subdural hematoma was successfully performed via right frontoparietal craniotomy.
- Complete removal of the ossified mass was achieved, despite significant adherence to the underlying cortex.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case highlights the successful surgical management of a rare ossified chronic subdural hematoma.
- Complete removal with careful dissection is essential to prevent cortical injury and ensure favorable outcomes.
- Prompt diagnosis and surgical intervention can lead to significant neurological improvement in patients with symptomatic ossified SDH.