Kaplan Metin, Akgün Bekir, Seçer Halil Ibrahim
Firat University, Firat Tip Merkezi, Neurosurgery Department, Elazig, Turkey.
Turk Neurosurg. 2008 Oct;18(4):420-4.
Ossified chronic subdural hematoma is a very rarely seen entity. We present here a 22-year-old male who had presented with severe headache consequent to brain compression caused by bifronto-parieto-temporal ossified subdural hematoma. We evaluated our method and surgical intervention in the light of the literature. The question whether the ossified membrane should be excised or not excised in these cases is a matter of controversy. We think that an ossified membrane causing an armored brain appearance should be excised in symptomatic, young patients with prominent cerebral compression. During this dissection, the relatively thickened arachnoid mater provides a safe border.
骨化性慢性硬膜下血肿是一种非常罕见的病症。我们在此报告一名22岁男性，因双侧额颞顶骨化性硬膜下血肿导致脑受压而出现严重头痛。我们根据文献评估了我们的方法和手术干预措施。在这些病例中，骨化膜是否应切除存在争议。我们认为，对于有症状、年轻且脑受压明显的患者，导致“盔甲脑”外观的骨化膜应予以切除。在手术剥离过程中，相对增厚的蛛网膜提供了一个安全边界。
