Clinic of Neurosurgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava and University Hospital in Martin, Martin, Slovak Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2020 Jun;164(2):209-212. doi: 10.5507/bp.2019.041. Epub 2019 Sep 26.
Chronic calcified/ossified subdural hematoma is a rare diagnosis. The incidence of chronic calcified subdural hematoma is 0.3-2.7% of all chronic subdural hematomas. Surgical treatment is indicated in most cases, but there is still some controversy.
We present a case report of 81-year-old woman with calcified chronic subdural hematoma. Patient underwent an osteoplastic left craniotomy, evacuation of chronic subdural mass with careful dissection andsuccessful removal of inner and outer membrane. Postoperative CT scan showed removal of subdural hematoma, decrease of left shift of median line and good brain re-expansion. Postoperative period was without any serious complications.
Subdural hematoma was successfully removed, resulting in a good recovery with complete resolution of patients symptoms. From our experience, we highly recommend surgical treatment in cases of chronic symptomatic calcified subdural hematomas.
慢性钙化/骨化性硬膜下血肿是一种罕见的诊断。慢性钙化性硬膜下血肿的发生率占所有慢性硬膜下血肿的 0.3-2.7%。大多数情况下需要手术治疗，但仍存在一些争议。
我们报告了一例 81 岁女性钙化性慢性硬膜下血肿的病例。患者接受了左骨瓣成形术，仔细解剖并成功切除慢性硬膜下血肿的内外膜。术后 CT 扫描显示硬膜下血肿被清除，中线左移减少，大脑良好复张。术后无任何严重并发症。
硬膜下血肿被成功清除，患者症状完全缓解，恢复良好。根据我们的经验，我们强烈推荐对有症状的慢性钙化性硬膜下血肿进行手术治疗。
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