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Published on: June 18, 2021
Ossified chronic subdural hematoma with armored brain.
Metin Kaplan1, Bekir Akgün, Halil Ibrahim Seçer
1Firat University, Firat Tip Merkezi, Neurosurgery Department, Elazig, Turkey.
Ossified chronic subdural hematoma is rare. Surgical excision of the ossified membrane is recommended for symptomatic young patients with significant brain compression, utilizing the arachnoid mater as a safe dissection plane.
Area of Science:
- Neurosurgery
- Neurology
- Pathology
Background:
- Ossified chronic subdural hematoma is an exceptionally rare condition.
- Chronic subdural hematomas can ossify, leading to potential complications.
Observation:
- A case of a 22-year-old male presenting with severe headache due to bifrontoparietotemporal ossified subdural hematoma causing brain compression.
- The ossified membrane created an 'armored brain' appearance.
Findings:
- The study discusses the surgical intervention and evaluation of a rare ossified chronic subdural hematoma.
- The decision regarding excision of the ossified membrane is controversial.
- The authors advocate for excision in symptomatic young patients with significant cerebral compression.
Implications:
- Excision of the ossified membrane in selected cases may alleviate symptoms and prevent further neurological damage.
- The thickened arachnoid mater can serve as a safe boundary during surgical dissection.
- This case contributes to the understanding and management of rare ossified subdural hematomas.
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