Calcified chronic subdural hematoma: A case report and literature review

作     者：Zongyu Xiao Xiaojuan Chen Kunzheng Li Zhengping Zhang 

作者机构：Department of NeurosurgeryAffiliated Hospital of Qinghai University Department of NeurologyQinghai People’s Provincial Hospital 

出 版 物：《Translational Neuroscience and Clinics》 (临床转化神经医学（英文版）)

年 卷 期：2017年第3卷第4期

页      面：220-223页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：calcified chronic subdural hematoma chronic subdural hematoma surgical treatment normal perfusion pressure breakthrough 

摘      要：Calcified chronic subdural hematoma(CCSDH) is a rare disease that accounts for approximately 0.3%–2.7% of all chronic subdural hematomas(CSDHs). The clinical features of CCSDH are very similar to those of noncalcified CSDH and include headache,decreased alertness,weakness,numbness,gait disturbance,seizures,memory impairment,confusion,and unconsciousness. All symptomatic CCSDH should be treated surgically. Majority of these patients recover well following surgery. In this report,we present the case of a patient with CCSDH who developed severe cerebral edema following its removal,necessitating decompressive craniectomy. Although there were no abnormal findings in laboratory blood tests,and no signs of brain herniation or epilepsy was found the following day after surgery,the patient s family refused all treatment and a post-operative brain computed tomography(CT) scan. The patient was discharged and died at home. Cerebral hematoma and normal perfusion pressure breakthrough(NPPB) may cause severe cerebral edema following the total removal of a CCSDH.