Chronic encapsulated intracerebral hematoma

Area of Science:

• Neurology
• Neurosurgery
• Pathology

Background:

• Intracerebral hematomas rarely cause chronic neurological disability.
• Understanding the etiology of chronic hematomas is crucial for patient management.

Observation:

• Two cases of chronic intracerebral hematoma are presented.
• Both cases exhibited a thick, fibrous capsule surrounding the hematoma.

Findings:

• Histological examination revealed the fibrous capsule originated from an occult vascular malformation.
• This finding links chronic hematomas to previously undetected vascular anomalies.

Implications:

• Surgical identification of a fibrous capsule in intracerebral hematomas warrants suspicion of an underlying vascular anomaly.
• This highlights the importance of thorough evaluation for vascular malformations in specific neurological cases.