Large Chronic Epidural Hematoma With Calcification: A Case Report

Sillero, Rafael de Oliveira; Zanini, Marco Antônio; Gabarra, Roberto Colichio

doi:10.1097/01.ta.0000209403.56867.09

Cited by 9 publications

(18 citation statements)

References 20 publications

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“…However, there is no consensus on the precise time-based definition of chronic epidural hematoma; with injury to detection/ operation time gap varying from 48 hours to 2 weeks in different studies available in literature. 14,26…”

Section: Discussionmentioning

confidence: 99%

Chronic Extradural Hematomas: An Illustrative Case Report and Review of Literature

Sharma

Verma

Sinha

2016

IJNS

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With the easy availability of computed tomography scanning, the majority of large extradural hematomas are identified and evacuated early. Hence, a large chronic extradural hematoma (CEDH) is rarely encountered in current clinical practice. The authors describe an interesting case of a large bifrontal CEDH associated with superior sagittal sinus injury in a 32-year-old man. We also present a review of 43 cases available in the literature, and discuss various concepts of classification of CEDHs and their management.

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Section: Discussionmentioning

confidence: 99%

Chronic Extradural Hematomas: An Illustrative Case Report and Review of Literature

Sharma

Verma

Sinha

2016

IJNS

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“…Decompressive surgery has been recommended for calcification that arises with chronic EDH . Kawata et al reported that rapid ossification might prevent absorption of an EDH, and subsequently can cause neurological deterioration because of the mass effect.…”

Section: Discussionmentioning

confidence: 99%

“…Decompressive surgery has been recommended for calcification that arises with chronic EDH. 4,11 Kawata et al 3 reported that rapid ossification might prevent absorption of an EDH, and subsequently can cause neurological deterioration because of the mass effect. However, EDH expansion can result from coagulopathy, repeated bleeding form the inner table of the skull, or slow blood accumulation from the dural surface veins.…”

Section: Discussionmentioning

confidence: 99%

Serial CT Findings of a Rapidly Calcified Epidural Hematoma in a Young Adult: A Case Report

Lee

Hwang

Choi

2013

Journal of Neuroimaging

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We report serial computed tomography (CT) findings in a rare case of a rapidly calcified epidural hematoma. A 21-year-old female patient was admitted to our hospital after being involved in a motor vehicle accident. An initial cranial CT revealed a right frontal bone fracture. She complained of right frontal headache, but showed no neurological deficit or tendency for bleeding. Therefore, she was treated conservatively without surgical intervention. Follow-up CT revealed an ossified epidural hematoma (EDH) 17 days after the head injury, and the ossification later thickened. However, a decrease in the width of the EDH was observed during the 9 months of follow-up during which serial CT images were acquired. The EDH resolved 9 months after the initial trauma, but the calcification layer remained thickened.

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“…33 Also known as an "armored brain," calcification is reported to occur in 0.3 to 2.7% of chronic extra-axial collections. 33,34 While this finding occurs most frequently in children and young adults, it has been reported in all age groups. Calcification can be seen following a posttraumatic extra-axial hemorrhage, postmeningitic effusion, or CSF diversion.…”

Section: Iatrogenicmentioning

confidence: 96%

“…33,34 The interval between initial hemorrhage and subsequent calcification can vary between 3 months and 3 years, although there have been several case reports of more immediate calcification occurring as soon as 10 days to 4 weeks. 34,36,37 Related symptoms are variable and can include seizures, mental retardation, increased intracranial pressure, and even herniation. Management is controversial, and ranges from conservative observation to burr hole drainage or craniotomy.…”

Section: Iatrogenicmentioning

confidence: 99%

Intracranial Calcifications in the Pediatric Age Group: An Imaging Review

Dinizio

Vincent

Nickerson

2016

J Pediatr Neuroradiol

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Intracranial calcifications in the pediatric population are frequently encountered on imaging studies and may be seen in association with a variety of disease states. This review article provides an overview of the various pathological entities which may result in calcification on pediatric neuroimaging studies, including their key clinical, imaging, and histological features. For ease of discussion, disease categories are grouped into neoplastic, infectious, vascular, iatrogenic, and metabolic etiologies. The phakomatoses are discussed as well. It is hoped that the information contained in this review will assist the reader in formulating an appropriate differential diagnosis when intracranial calcifications are identified on imaging examinations.

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Large Chronic Epidural Hematoma With Calcification: A Case Report

Cited by 9 publications

References 20 publications

Chronic Extradural Hematomas: An Illustrative Case Report and Review of Literature

Chronic Extradural Hematomas: An Illustrative Case Report and Review of Literature

Serial CT Findings of a Rapidly Calcified Epidural Hematoma in a Young Adult: A Case Report

Intracranial Calcifications in the Pediatric Age Group: An Imaging Review

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