Symptomatic calcified chronic subdural hematoma treated surgically
Background: Calcified chronic subdural hematoma (CSDH) is unusual. The majority of calcified CSDHs are found near the convexity, and the amount of calcification varies greatly. The progression of calcification in a CSDH is unknown. Seizures, mental and physical impairment, hemiparesis, and gait abn...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2023-09-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2524 |
| _version_ | 1797671443301924864 |
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| author | Pradhumna Kumar Yadav Ahtesham Khizar Seeneen Bukhari Somraj Lamichane |
| author_facet | Pradhumna Kumar Yadav Ahtesham Khizar Seeneen Bukhari Somraj Lamichane |
| author_sort | Pradhumna Kumar Yadav |
| collection | DOAJ |
| description |
Background: Calcified chronic subdural hematoma (CSDH) is unusual. The majority of calcified CSDHs are found near the convexity, and the amount of calcification varies greatly. The progression of calcification in a CSDH is unknown. Seizures, mental and physical impairment, hemiparesis, and gait abnormalities are some of the symptoms; nevertheless, some people are asymptomatic. Surgical intervention is preferred for a calcified CSDH that is expanding. However, there is no agreement on surgical therapy for asymptomatic calcified CSDHs.
Case Presentation: A 69-year-old man was reported to have had behavioural abnormalities and seizures in the past couple of years. He had a three-year history of minor head trauma. On clinical examination, he appeared confused and had no hemiparesis. His Computed Tomography (CT) brain revealed a calcified frontoparietal CSDH on the left side. A calcified CSDH was discovered in his brain by Magnetic Resonance Imaging (MRI) as well. This patient underwent a left-sided frontoparietal craniotomy, and the calcified CSDH was removed to the greatest extent possible. It was firmly attached to the underlying surface of the brain parenchyma. The postoperative period was straightforward, and the patient's behavioural alterations improved noticeably.
Conclusions: We described a patient who had a rare, persistent, calcified CSDH that was successfully removed, leading to a noticeable recovery. Based on our assessment of the literature and our patient's experience, we believe surgical treatment for calcified CSDH is viable and typically results in neurological improvement.
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| first_indexed | 2024-03-11T21:15:36Z |
| format | Article |
| id | doaj.art-1059deb2b0774720a02c165e4820b791 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-03-11T21:15:36Z |
| publishDate | 2023-09-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-1059deb2b0774720a02c165e4820b7912023-09-29T02:22:31ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592023-09-01373Symptomatic calcified chronic subdural hematoma treated surgicallyPradhumna Kumar Yadav Ahtesham KhizarSeeneen Bukhari Somraj Lamichane Background: Calcified chronic subdural hematoma (CSDH) is unusual. The majority of calcified CSDHs are found near the convexity, and the amount of calcification varies greatly. The progression of calcification in a CSDH is unknown. Seizures, mental and physical impairment, hemiparesis, and gait abnormalities are some of the symptoms; nevertheless, some people are asymptomatic. Surgical intervention is preferred for a calcified CSDH that is expanding. However, there is no agreement on surgical therapy for asymptomatic calcified CSDHs. Case Presentation: A 69-year-old man was reported to have had behavioural abnormalities and seizures in the past couple of years. He had a three-year history of minor head trauma. On clinical examination, he appeared confused and had no hemiparesis. His Computed Tomography (CT) brain revealed a calcified frontoparietal CSDH on the left side. A calcified CSDH was discovered in his brain by Magnetic Resonance Imaging (MRI) as well. This patient underwent a left-sided frontoparietal craniotomy, and the calcified CSDH was removed to the greatest extent possible. It was firmly attached to the underlying surface of the brain parenchyma. The postoperative period was straightforward, and the patient's behavioural alterations improved noticeably. Conclusions: We described a patient who had a rare, persistent, calcified CSDH that was successfully removed, leading to a noticeable recovery. Based on our assessment of the literature and our patient's experience, we believe surgical treatment for calcified CSDH is viable and typically results in neurological improvement. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2524chronic subdural hematomacalcificationossificationtraumatic brain injurycraniotomy |
| spellingShingle | Pradhumna Kumar Yadav Ahtesham Khizar Seeneen Bukhari Somraj Lamichane Symptomatic calcified chronic subdural hematoma treated surgically Romanian Neurosurgery chronic subdural hematoma calcification ossification traumatic brain injury craniotomy |
| title | Symptomatic calcified chronic subdural hematoma treated surgically |
| title_full | Symptomatic calcified chronic subdural hematoma treated surgically |
| title_fullStr | Symptomatic calcified chronic subdural hematoma treated surgically |
| title_full_unstemmed | Symptomatic calcified chronic subdural hematoma treated surgically |
| title_short | Symptomatic calcified chronic subdural hematoma treated surgically |
| title_sort | symptomatic calcified chronic subdural hematoma treated surgically |
| topic | chronic subdural hematoma calcification ossification traumatic brain injury craniotomy |
| url | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2524 |
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