Calcified Subdural Hematomas in Childhood

McLaurin, Robert L.; McLaurin, Kathleen S.

doi:10.3171/jns.1966.24.3.0648

Cited by 48 publications

(39 citation statements)

References 10 publications

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“…The symptoms are dependent on the accompanying underlying brain damage rather than the calcified mass, and removal of such lesions may be neither necessary nor beneficial. 5,11) However, calcified or organized CSH should not be surgically ignored. 20) Patients with acute or progressive neurological disorders should be evaluated and craniotomy considered.…”

Section: Discussion I Surgical Managementmentioning

confidence: 99%

“…14) Six children aged from 9 to 15 years with calcified CSH had all undergone bilateral or left craniotomy for subdural hematoma and suffered meningitis or encephalitis in their infancy. 11) Three of the six children were prematurely born.…”

Section: Possible Etiology Based On the Clinical Coursementioning

confidence: 99%

“…8) Thereafter, numerous reports concerning calcified or organized hematoma have been published. 4,5,11,12,14,[16][17][18] Nevertheless, the etiology, imaging diagnosis, and management have remained obscure, partly because few studies have used modern imaging methods such as magnetic resonance (MR) imaging 14) and brain computed tomography (CT). 12,14,17) Moreover, the calcification process has been little described.…”

Section: Introductionmentioning

confidence: 99%

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Organized Chronic Subdural Hematoma Requiring Craniotomy

Imaizumi

Onuma

Kameyama

et al. 2001

Neurol. Med. Chir.(Tokyo)

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Two child and three elderly patients underwent craniotomy for organized and/or partially calcified chronic subdural hematomas (CSHs). The characteristic feature of magnetic resonance imaging was a heterogeneous web-like structure in the hematoma cavity. Both children had undergone one side subduroperitoneal shunt for bilateral CSHs when infants. As a result, the opposite hematoma cavities persisted and developed into calcified CSHs after a couple of years. All three elderly patients with senile brain atrophy showed various systemic complications such as cerebral infarction, diabetes mellitus, leg ulceration, cirrhosis, and bleeding tendency. Craniotomy for removal of the hematoma and calcification achieved good results in all patients. Subdural space created by shunt, craniotomy, or brain atrophy and persisting for a certain period, and additional various brain damage such as microcirculatory disorder, meningitis, encephalitis, or premature delivery may be important in generating calcified or organized CSH.

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Section: Discussion I Surgical Managementmentioning

confidence: 99%

Section: Possible Etiology Based On the Clinical Coursementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Organized Chronic Subdural Hematoma Requiring Craniotomy

Imaizumi

Onuma

Kameyama

et al. 2001

Neurol. Med. Chir.(Tokyo)

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“…The surgical intervention for calcified chronic subdural hematoma has no effect on the long term brain atrophy and the symptoms are related to that brain damage rather than the calcified mass as in our patient with epilepsy. MacLaurin and MacLaurin (14) reported no improvement in the IQ of their 6 children after surgery. Iplikcioglu et al in their patient showed seizure control after surgery but the patient continued his anti epileptic treatment (11).…”

mentioning

confidence: 99%

Armored brain in patients with hydrocephalus after shunt surgery; review of the literatures

Taha

2011

Turkish Neurosurgery

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Armored brain or chronic calcified subdural hematoma is a rare complication of cerebrospinal fluid diversion with few cases reported in the literature. Seventeen patients with this pathology have been published. A complete review of the literatures regarding this topic has been collected and discussed. The author also presents a 12-year old boy with triventricular hydrocephalus who had undergone ventriculoperitoneal medium pressure shunt system since birth. The patient presented to our clinic with a 2-year history of seizures. The patient was conscious and without neurological deficits on examination. Computed tomography of the brain showed bilateral high density mass with surface calcification. X ray skull and MRI confirmed the calcified subdural hematoma bilaterally. We preferred conservative treatment and the patient continued his antiepileptic treatment. At one year follow up, the patient had the same neurological state. The case highlights the importance of frequent follow up CT brain after shunt surgery. KeywoRds: Armored brain, Subdural hematoma, Hydrocephalus, Ventriculoperitoneal shunt, Complications ÖZZırhlı beyin veya kronik kalsifiye subdural hematom serebrospinal sıvı diversiyonunun nadir bir komplikasyonudur ve literatürde sadece birkaç vaka vardır. Bu patolojinin bulunduğu on yedi hasta bildirilmiştir. Bu konuyla ilgili literatür tam olarak gözden geçirilmiştir ve burada yer almaktadır. Yazar ayrıca triventriküler hidrosefalisi olan ve doğuştan beri ventriküloperitoneal orta basınçlı bir şant sistemi bulunan 12 yaşında bir erkek hastayı sunmaktadır. Hasta kliniğimize 2 yıldır havale öyküsüyle başvurdu. Hastanın bilinci açıktı ve incelemede herhangi bir nörolojik defisit yoktu. Beyin bilgisayarlı tomografisi yüzey kalsifikasyonlu bilateral yüksek dansiteli bir kitle gösterdi. Kafa filmi ve MRG bilateral kalsifiye subdural hematomu doğruladı. Konservatif tedaviyi tercih ettik ve hasta antiepileptik tedavisini kullanmaya devam etti. Bir yıllık takipte hastanın nörolojik durumu aynıydı. Vaka şant cerrahisinden sonra sık beyin BT ile takibin önemini vurgulamaktadır.

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“…With regards to the duration of the presence of chronic subdural hematoma in infancy, a true index of the duration of its existence is not clear, although it is noteworthy that the literature establishes that such subdural hematoma may be present long enough to undergo calcification. 22) …”

mentioning

confidence: 99%

The Shaken Baby Syndrome: An Odyssey -II Origins and Further Hypotheses-

Uscinski

McBride

2008

Neurol. Med. Chir.(Tokyo)

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Subdural bleeding in the so-called``shaken baby syndrome'' is recognized as a hallmark of this syndrome, and is often noted as chronic in nature, indicating an earlier time of origin than clinical presentation. In infants and neonates, the timeframe for generating such chronic intracranial bleeding is therefore limited. Neurosurgical, obstetric, and pediatric literature all recognize the significance of birth trauma in the generation of intracranial bleeding. This possibility is explored further here, with emphasis on features peculiar to Homo sapiens predisposing to intracranial bleeding during this timeframe. Encephalization and bipedalism combine to render the infant and mother susceptible to injury at birth.

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Calcified Subdural Hematomas in Childhood

Cited by 48 publications

References 10 publications

Organized Chronic Subdural Hematoma Requiring Craniotomy

Organized Chronic Subdural Hematoma Requiring Craniotomy

Armored brain in patients with hydrocephalus after shunt surgery; review of the literatures

The Shaken Baby Syndrome: An Odyssey -II Origins and Further Hypotheses-

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