Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma

Calcified chronic subdural hematomas (CCSDHs) are rare entities, whose yearly incidence ranges from 1.72 to 20.6 per every 100 thousand persons. Several different approaches to their management are reported in the literature, ranging from conservative treatment to craniotomy with full removal of the...

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Main Authors: André Luiz Girotto, Guilherme Gago
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2023-09-01
Series:Brazilian Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758711
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author André Luiz Girotto
Guilherme Gago
author_facet André Luiz Girotto
Guilherme Gago
author_sort André Luiz Girotto
collection DOAJ
description Calcified chronic subdural hematomas (CCSDHs) are rare entities, whose yearly incidence ranges from 1.72 to 20.6 per every 100 thousand persons. Several different approaches to their management are reported in the literature, ranging from conservative treatment to craniotomy with full removal of the neomembranes. Currently, there are no guidelines or consensus that establish the best technique. We herein report a case of symptomatic CCSDH initially drained through a burr-hole craniotomy, with no resolution of the symptoms. Later, our patient underwent a craniotomy and partial membranectomy, which resulted in full symptomatic recovery.
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spelling doaj.art-214c4538f9e741f2bbacbcfae17428a52023-09-29T23:09:50ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222023-09-014203e259e26110.1055/s-0042-1758711Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural HematomaAndré Luiz Girotto0https://orcid.org/0000-0002-8054-8177Guilherme Gago1https://orcid.org/0000-0002-4082-4800Department of Medicine, School of Medicine, Universidade Federal do Rio Grande, Rio Grande, RS, BrazilDepartment of Neurosurgery, Hospital São José, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, BrazilCalcified chronic subdural hematomas (CCSDHs) are rare entities, whose yearly incidence ranges from 1.72 to 20.6 per every 100 thousand persons. Several different approaches to their management are reported in the literature, ranging from conservative treatment to craniotomy with full removal of the neomembranes. Currently, there are no guidelines or consensus that establish the best technique. We herein report a case of symptomatic CCSDH initially drained through a burr-hole craniotomy, with no resolution of the symptoms. Later, our patient underwent a craniotomy and partial membranectomy, which resulted in full symptomatic recovery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758711neurosurgerychronic subdural hematomapathologic calcificationneurocirurgiahematoma subdural crônicocalcificação patológica
spellingShingle André Luiz Girotto
Guilherme Gago
Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
Brazilian Neurosurgery
neurosurgery
chronic subdural hematoma
pathologic calcification
neurocirurgia
hematoma subdural crônico
calcificação patológica
title Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
title_full Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
title_fullStr Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
title_full_unstemmed Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
title_short Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma
title_sort surgical management of the armored brain case report of the treatment of a chronic calcified subdural hematoma
topic neurosurgery
chronic subdural hematoma
pathologic calcification
neurocirurgia
hematoma subdural crônico
calcificação patológica
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758711
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