Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Acta Med Okayama. 2024 Jun;78(3):285-290. doi: 10.18926/AMO/67204.
Organized chronic subdural hematoma (OCSDH) is a relatively rare condition that forms over a longer period of time compared to chronic subdural hematoma and is sometimes difficult to diagnose with preoperative imaging. We resected an intracranial lesion in a 37-year-old Japanese man; the lesion had been increasing in size for >17 years. The preoperative diagnosis based on imaging findings was meningioma; however, pathological findings revealed OCSDH. Clinicians should be aware that OCSDH mimics other tumors and consider surgical strategies for this disease.
OCSDH 是一种相对罕见的疾病,与慢性硬膜下血肿相比,它形成的时间更长,有时术前影像学检查难以诊断。我们为一名 37 岁的日本男性切除了颅内病变,该病变的大小在 17 年以上逐渐增大。术前根据影像学表现诊断为脑膜瘤,但病理结果显示为 OCSDH。临床医生应意识到 OCSDH 模仿其他肿瘤,并考虑针对这种疾病的手术策略。