Calcification and ossification of chronic encapsulated intracerebral haematoma: case report.
We report a case of calcified chronic encapsulated intracerebral haematoma (ICH) in a 29-year-old female who presented with progressive left sided weakness and intermittent seizures since childhood. The preoperative magnetic resonance (MR) imaging of the head initially suggested that a partially thrombosed aneurysm or vascular malformation was present. However, no vascular stain was found on the digital subtraction angiography (DSA) of both the carotid and vertebral arteries. The excised mass was histologically diagnosed as a chronic ICH. We traced the patient's medical history and found that at the age of one she sustained a head injury after a fall. So far, to our knowledge, no case of epilepsy secondary to a calcified chronic encapsulated ICH occurring 28 years after head injury has been reported. Calcified chronic encapsulated ICH concomitant with new bone formation within is even rarer. The possible pathogenesis of this case is discussed.
Chen
Nan-Fu
NF
Department of Neurosurgery, Taichung Veterans General Hospital, 160, Sec. 3, Taichung Harbor Road, Taichung, Taiwan 407, ROC.
Wang
Yeou-Chih
YC
Shen
Chiung-Chyi
CC
Jan
Yee-Jee
YJ
Chen
Wen-Hsien
WH
Leu
Ching-Hsiang
CH
D000328:Adult; D001932:Brain Neoplasms / Q000150:complications*; D002114:Calcinosis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009999:Ossification, Heterotopic / Q000209:etiology* / Q000473:pathology