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Asymptomatic calcified chronic subdural hematoma--report of three cases
1Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.
Insights
Asymptomatic calcified chronic subdural hematomas can be identified via skull X-rays and CT scans. Surgery may be considered for non-elderly patients with cerebral compression to prevent future brain damage.
Area of Science:
- Neurology
- Radiology
- Neurosurgery
Background:
- Chronic subdural hematomas (CSH) are collections of blood that can calcify over time.
- Asymptomatic presentations of calcified CSH are rare, posing diagnostic challenges.
Observation:
- The study describes three adult cases of asymptomatic calcified chronic subdural hematoma.
- Initial diagnosis was made using plain skull X-ray films after head trauma.
- Computed tomography (CT) confirmed large, frontoparietal, calcified hematomas in all patients.
Findings:
- One 49-year-old male underwent surgical hematoma removal due to cerebral compression identified on CT.
- An 83-year-old male with the same condition remained asymptomatic without surgical intervention.
- A third patient succumbed to trauma-related injuries, unrelated to the hematoma itself.
Implications:
- Surgical intervention for asymptomatic calcified chronic subdural hematoma with significant cerebral compression should be considered in non-elderly individuals.
- Early surgical consideration may relieve cerebral compression and prevent potential future neurological deficits.
- This case series highlights the importance of advanced imaging in diagnosing and managing rare CSH presentations.
Abstract:
Three adults with asymptomatic calcified chronic subdural hematoma are described. Plain skull x-ray films following head trauma disclosed calcified chronic subdural hematomas and computed tomography (CT) revealed large, frontoparietal, calcified hematomas in all cases. A 49-year-old male received hematoma removal because of his lower age and CT evidence of cerebral compression. An 83-year-old male was not operated on and remained asymptomatic. The third patient died of trauma-related injuries. In the non-elderly, surgery for asymptomatic calcified chronic subdural hematoma with significant cerebral compression should be considered for relief of cerebral compression and prevention of possible future brain damage.