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Chronic Intraventricular Encapsulated Hematoma in an Adult: A Case Report
E Kechagias1, C Ioakimidou, N Georgakoulias
1Department of Neurosurgery, General Hospital of Athens 'G. Gennimatas', Athens, Greece.
Case Reports in Neurology
|November 10, 2010
Summary
A rare chronic intraventricular encapsulated hematoma caused neurological symptoms including gait disturbance and cranial nerve palsies. Surgical removal of this rare brain lesion led to gradual symptom resolution.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Chronic intraventricular encapsulated hematomas are rare neurological conditions.
- Patients may present with diverse neurological deficits mimicking other intracranial pathologies.
Observation:
- A case report details an adult patient with gait disturbance, fever, cranial nerve palsies (III, VI, VII), and photophobia.
- Ophthalmoscopy revealed bilateral papilledema, suggesting increased intracranial pressure.
- Imaging studies (CT and MRI) identified an intraventricular mass in the lateral ventricle, initially suspected as a neoplasm.
Findings:
- Surgical exploration and complete removal of the intraventricular mass were performed.
- Histopathological examination confirmed the lesion to be a chronic intraventricular encapsulated hematoma.
- The patient experienced gradual resolution of all presenting clinical symptoms post-surgery.
Implications:
- This case highlights the importance of considering rare entities like encapsulated hematomas in the differential diagnosis of intraventricular masses.
- Successful surgical management can lead to significant clinical improvement in patients with this rare condition.
- Further research into the etiology and optimal management of chronic intraventricular encapsulated hematomas is warranted.
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