Bilateral Calcified Chronic Subdural Hematoma in a Patient with Ventriculoperitoneal Shunt: A Case Report

Y. Shin, Young Woo Lee, Dongho Shin, Woo-ram Shin
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Abstract

Corresponding author: Young-Woo Lee Department of Neurosurgery, Presbyterian Medical Center, 365, Seowon-ro, Wansan-gu, Jeonju 54987, Republic of Korea Tel: +82-63-230-1420 Fax: +82-63-230-1429 E-mail: yyong0411@naver.com Chronic subdural hematoma (CSDH) is a common condition. However, it is rarely calcified. Among various causes, hydrocephalus and ventriculoperitoneal shunts in CSDH are uncommon causes of calcification. A 38-year-old woman presented with visual disturbance. Computed tomography and magnetic resonance imaging of the brain demonstrated compressed optic chiasm by planum sphenoidale meningioma. And massive bilateral calcified CSDH with cerebral convexity. Surgery was performed to remove the tumor and ipsilateral calcification. The symptoms improved following discharge after surgery. As this is a rarely performed surgery, caution is advised to prevent damaging the dura matter when cutting the bone and to prevent damaging the brain during dissection.
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脑室-腹膜分流患者双侧钙化慢性硬膜下血肿1例
通讯作者:李永宇(音)韩国全州市万山区seowon路365号长老会医疗中心神经外科电话:+82-63-230-1420传真:+82-63-230-1429 E-mail: yyong0411@naver.com慢性硬膜下血肿(CSDH)是一种常见的疾病。然而,它很少钙化。在各种原因中,脑积水和脑室-腹膜分流是不常见的钙化原因。一名38岁女性表现为视觉障碍。计算机断层扫描和脑磁共振成像显示由蝶状平面脑膜瘤引起的压缩视交叉。双侧大量钙化CSDH伴脑凸。手术切除肿瘤和同侧钙化。术后出院后症状有所改善。由于这是一种很少进行的手术,建议在切割骨头时小心防止损伤硬脑膜,在剥离时防止损伤大脑。
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