Calcified chronic subdural haematoma

Abstract

Chronic subdural haematoma (CSH) is a well-known disease entity; however, calcified CSH (CCSH) is quite rare. Here the authors report on a 65-year-old man who developed gradual left hemiparesis and had gradually deteriorating level of consciousness for 1 month. CT scan revealed a huge right-sided CCSH. He underwent surgery and the CCSH was excised totally. The patient recovered well and was able to do his daily activities by himself. Surgical treatment for CCSH results in good neurological outcome.

An early presentation of a large calcified chronic subdural hematoma presenting as an inner eggshell in an elderly patient: A case report

“…In the reports, the calcium deposition usually take at least 6 months to many years to be visible on roentgenography in most of the patients; however, in our presentation, the calcification was seen on CT scan only after 3 months following the patient’s fall. This early calcium deposition had been reported only once in the literature [ 2 , [8] , [9] , [10] , [11] ]. Nevertheless, according to the lack of previous data recorded for his earlier performance, deviating to the left side while he walk or sit, before the falling, we cannot actually know whether there has been calcium deposition in his brain before and later this fall caused acute bleeding inside.…”

A Large Mass Mimicking Calcified Hematoma of the Skull Showing Involvement of Myeloma Cells and a Good Response to Irradiation

“…3 Calcified epidural hematoma and calcified empyema are among the other entities that need to be considered in the differential diagnosis of calcified epidural hematoma. However, a previous review 4 did not include plasmacytoma or a tumor mass composed of myeloma cells. The skull is one of the most frequent sites for myeloma cell invasion, and punched-out or lytic lesions are common.…”

Calcified chronic subdural hematoma: illustrative case

“…3 The clinical presentation also varies, with some patients remaining asymptomatic and others having seizures, dementia, and other complications, especially in bilateral calcified subdural hematomas, also referred as armored brain . 4 , 5 The mechanism of calcification of the periphery of some of the subdural hematomas is likely to be multifactorial, involving both vascular and metabolic factors. 6 The calcification in CSDHs is caused mainly by overdrainage of cerebrospinal fluid, which still remains very rare.…”