Huge calcified chronic subdural hematoma in the elderly--report of a case.
A 73-year-old man who had a huge calcified chronic subdural hematoma is reported. He developed progressive right hemiparesis and conscious disturbance. Computerized tomography demonstrated a huge subdural hematoma bordered by a calcified rim. A large osteoplastic craniotomy was performed and revealed approximately 300 grams of paste-like, muddy blood clot. The calcified outer membrane contained proliferating capillaries which was conceivably contributed to the leakage of blood. It is noteworthy that an active vascular proliferation was observed even in the healed tissue with calcification.
Loh
J K
JK
Division of Neurosurgery, Kaohsiung Medical College, Taiwan, Republic of China.
Howng
S L
SL
D000368:Aged; D002114:Calcinosis / Q000473:pathology / Q000601:surgery*; D002908:Chronic Disease; D003399:Craniotomy; D006408:Hematoma, Subdural / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed