Spadaro A, Rotondo M, Di Celmo D, Simpatico S, Parlato C, Zotta D C, Albanese V
Istituto di Neurochirurgia, I Facoltà di Medicina, Università di Napoli, Italy.
J Neurosurg Sci. 1987 Apr-Jun;31(2):49-52.
Calcified chronic subdural hematomas after shunting procedures for treatment of hydrocephalus have been rarely described. When the calcified wall is so large to extensively cover the surface of the cerebral hemispheres, this instance has been defined "Armored Brain". The Authors report the case of an eleven-year-old patient affected by triventricular hydrocephalus due to aqueductal stenosis, that was treated by a ventriculoatrial shunt. The post-operative course was uneventful and the patient recovered completely from the preexisting neurological deficits. Nevertheless, a CT scan performed 2 and 1/2 years later, revealed the development of a bilateral calcified chronic subdural hematoma, to such extent to configure a so-called "Armored Brain". Clinical course, pathogenesis and treatment of such kind of pathology are discussed in light of the data reported from the literature.
在治疗脑积水的分流手术后发生钙化性慢性硬膜下血肿的情况鲜有报道。当钙化壁大到足以广泛覆盖大脑半球表面时，这种情况被定义为“铠甲脑”。作者报告了一例11岁因导水管狭窄导致三脑室脑积水的患者，该患者接受了脑室-心房分流术治疗。术后过程顺利，患者先前存在的神经功能缺损完全恢复。然而，2年半后进行的CT扫描显示双侧出现钙化性慢性硬膜下血肿，其程度构成了所谓的“铠甲脑”。根据文献报道的数据，讨论了此类病理情况的临床过程、发病机制和治疗方法。
