A Giant Bilateral Calcified Chronic Subdural Hematoma
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
A calcified chronic subdural hematoma is a rare disease and its neuroradiological presentation is variable. The degree of calcification extends from thin calcified inner membranes to dense calcification and even ossification of the hematoma. Previous reports described a maximum of two hematoma cavities with calcified inner hematoma membranes.
Neuroimaging report with illustrative computerized tomography images.
A patient with a bilateral symptomatic calcified chronic subdural hematoma, or so-called “armoured brain”, was admitted to our intensive care unit with clinical signs of increased intracranial pressure. Computerized cranial tomography demonstrated multiple bilaterally located hematoma cavities with thin calcified inner membranes. After neurosurgical intervention by bilateral burr hole trepanation, clinical symptoms improved.
Our case of a calcified chronic subdural hematoma presents with an uncommon imaging pattern with more than four hematoma cavities bounded by predominantly convex- and concave-configured thin calcified inner membranes.
- Al Wohaibi M, Russell N, Al Ferayan A. A baby with an armoured brain. CMAJ. 2003;169:46–7.
- Niwa J, Nakamura T, Fujishige M, Hashi K. Removal of a large asymptomatic calcified chronic subdural hematoma. Surg Neurol. 1988;30:135–9. CrossRef
- Ludwig B, Nix W, Lanksch W. Computed tomography of the “armoured brain”. Neuroradiology. 1983;25:39–43. CrossRef
- Dammers R, ter Laak-Poort MP, Maas AI. Neurological picture. Armoured brain: case report of a symptomatic calcified chronic subdural haematoma. J Neurol Neurosurg Psychiatry. 2007;78:542–3. CrossRef
- Dimogerontas G, Rovlias A. Bilateral huge calcified chronic subdural haematomas [‘armoured brain’] in an adult patient with a coexistent VA shunt infection. Br J Neurosurg. 2006;20:435–6. CrossRef
- Afra D. Ossification of subdural hematoma. Report of two cases. J Neurosurg. 1961;18:393–7. CrossRef
- Fujisawa H, Nomura S, Kajiwara K, Kato S, Fujii M, Suzuki M. Various magnetic resonance imaging patterns of chronic subdural hematomas: indicators of the pathogenesis? Neurol Med Chir (Tokyo). 2006;46:333–8. (discussion 338–9). CrossRef
- Ide M, Jimbo M, Yamamoto M, Umebara Y, Hagiwara S. Asymptomatic calcified chronic subdural hematoma—report of three cases. Neurol Med Chir (Tokyo). 1993;33:559–63. CrossRef
- Imaizumi S, Onuma T, Kameyama M, Naganuma H. Organized chronic subdural hematoma requiring craniotomy—five case reports. Neurol Med Chir (Tokyo). 2001;41:19–24. CrossRef
- Moon KS, Lee JK, Kim TS, et al. Contralateral acute subdural hematoma occurring after removal of calcified chronic subdural hematoma. J Clin Neurosci. 2007;14:283–6. CrossRef
- A Giant Bilateral Calcified Chronic Subdural Hematoma
Volume 12, Issue 2 , pp 272-273
- Cover Date
- Print ISSN
- Online ISSN
- Humana Press Inc
- Additional Links
- Armoured brain
- Calcified inner membranes
- Multiple hematoma cavities
- Industry Sectors