一个巨大的双侧钙化性慢性硬脑膜下血肿。
A giant bilateral calcified chronic subdural hematoma.
机构信息
Department of Neurology, University Hospital of Cologne, Kerpener Str 62, 50924 Cologne, Germany.
出版信息
Neurocrit Care. 2010 Apr;12(2):272-3. doi: 10.1007/s12028-009-9303-z.
BACKGROUND
A calcified chronic subdural hematoma is a rare disease and its neuroradiological presentation is variable. The degree of calcification extends from thin calcified inner membranes to dense calcification and even ossification of the hematoma. Previous reports described a maximum of two hematoma cavities with calcified inner hematoma membranes.
METHODS
Neuroimaging report with illustrative computerized tomography images.
RESULTS
A patient with a bilateral symptomatic calcified chronic subdural hematoma, or so-called "armoured brain", was admitted to our intensive care unit with clinical signs of increased intracranial pressure. Computerized cranial tomography demonstrated multiple bilaterally located hematoma cavities with thin calcified inner membranes. After neurosurgical intervention by bilateral burr hole trepanation, clinical symptoms improved.
CONCLUSIONS
Our case of a calcified chronic subdural hematoma presents with an uncommon imaging pattern with more than four hematoma cavities bounded by predominantly convex- and concave-configured thin calcified inner membranes.
背景
钙化性慢性硬脑膜下血肿是一种罕见疾病，其神经影像学表现多样。钙化程度从薄的钙化内膜到血肿的致密钙化甚至骨化不等。以前的报告最多描述了两个带有钙化内膜的血肿腔。
方法
附有说明性计算机断层扫描图像的神经影像学报告。
结果
一名双侧症状性钙化性慢性硬脑膜下血肿患者，即所谓的“装甲脑”，因颅内压增高的临床症状被收入我们的重症监护病房。头颅计算机断层扫描显示双侧多个血肿腔，内有薄的钙化内膜。通过双侧颅骨钻孔减压手术后，临床症状得到改善。
结论
我们的钙化性慢性硬脑膜下血肿病例表现出一种不常见的影像学模式，有超过四个血肿腔，由主要呈凸面和凹面形状的薄钙化内膜所界定。
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