A Case of Huge Calcified Chronic Subdural Hematoma in the Elderly.
- Author:
Young Tak PARK
1
;
Won Han SHIN
;
In Chang LEE
;
Soon Gwan CHOI
;
Bak Jang BYUN
;
In Soo LEE
Author Information
1. Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Calcified chronic subdural hematoma;
Seizures;
Elderly Patients;
Computerized tomography;
Craniotomy
- MeSH:
Aged*;
Brain;
Child;
Consciousness;
Craniotomy;
Dura Mater;
Head Injuries, Closed;
Hematoma, Subdural;
Hematoma, Subdural, Chronic*;
Humans;
Korean War;
Male;
Membranes;
Neurologic Examination;
Papilledema;
Seizures;
Skull;
Status Epilepticus;
Tomography, X-Ray Computed;
X-Ray Film;
Young Adult
- From:Journal of Korean Neurosurgical Society
1987;16(4):1271-1278
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After von Rokitansky's description in 1984 of a calcified chronic subdural hematoma, the number of such lesions has reached so far a total of 108. The majority of patients reported have been children and young adults. On review of the literature, elderly patients reported over the age of sixty five years are only 5, so far as we know. A 68-year-old Korean male with a calcified chronic subdural hematoma is reported. He was admitted to our department because of a status epilepticus. During Korean war (1950), abut 37 years before admission, he had been suffered from a blunt head injury, but mistreated then, and afterwards th had several episodes of convulsion. Neurological examination on admission revealed only a drowsy consciousness and mild papilledema on the left. Plain skull X-ray films and brain CT scan demonstrated a left sided biconvex type of intracranial calcification. A left frentoparietal craniotomy was performed. After opening the dura mater, the thickened outer membrane, the subdural hematoma and the thin bone like plate were removed thoroughly. Content of the subdural hematoma was brown muddy substance. In the eight months following the operation, the generalized seizure did not appear. Postoperative CT scan demonstrated complete re-expansion of the brain parenchyme.
