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Published on: June 18, 2021
Chronic encapsulated intracerebral haematoma
Chih-Yun Lin1, Yun Chen, Sheng-Hong Tseng
1Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan S. Road, Taipei 100, Taiwan.
Summary
This report details a rare chronic encapsulated intracerebral haematoma (CEICH) case. Surgical removal led to a full recovery, highlighting CEICH as a treatable condition.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Chronic encapsulated intracerebral haematoma (CEICH) is a rare neurological condition.
- Intracerebral haematomas can present with varied imaging characteristics and clinical symptoms.
Observation:
- A 52-year-old male presented with seizures, exhibiting a left temporal lobe lesion on CT and MRI.
- Imaging revealed a hypodense tumor with calcifications, demonstrating specific signal intensities and heterogeneous enhancement post-gadolinium.
Findings:
- Surgical excision confirmed the lesion as a chronic encapsulated intracerebral haematoma.
- Histopathological analysis verified the CEICH diagnosis, with no associated vascular anomalies identified.
Implications:
- This case underscores the importance of considering CEICH in the differential diagnosis of temporal lobe lesions presenting as tumors.
- Successful surgical management of CEICH offers a favorable prognosis, emphasizing the need for accurate diagnosis through advanced imaging and histopathology.
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