慢性钙化硬膜下血肿1例。

H. Yan, K. Lin, S. T. Lee, W. Tzaan
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引用次数: 19

摘要

钙化或骨化的慢性硬膜下血肿是一种罕见的实体,通常表现为脑凸面上的占位性病变。我们报告一例钙化和骨化的慢性硬膜下血肿在一个不寻常的位置,以前没有报道。24岁男性,自7个月大以来有强直-阵挛性惊厥病史,因癫痫发作频率和持续时间增加而入院。计算机断层扫描和磁共振成像显示一梭状轴外病变,位于脑幕上方,靠近脑镰。一个钙化和骨化的慢性硬膜下血肿被发现,几乎完全被开颅切除。通过去除钙化的慢性硬膜下血肿,癫痫发作得到了更好的控制。钙化硬膜下血肿、钙化硬膜外血肿、钙化脓肿、脑膜瘤、钙化蛛网膜囊肿、钙化硬脑膜隆起伴急性硬膜外血肿应作为轴外钙化病变的鉴别诊断。
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Calcified chronic subdural hematoma: case report.
Calcified or ossified chronic subdural hematoma is a rare entity that usually presents as a space-occupying lesion over the cerebral convexity. We report a case of calcified and ossified chronic subdural hematoma in an unusual location that has not been previously reported. A 24-year-old man with a history of tonic-clonic convulsions since 7 months of age was admitted because of increasing frequency and duration of seizures. Computed tomography and magnetic resonance imaging demonstrated a fusiform extra-axial lesion just above the tentorium and adjacent to the cerebral falx. A calcified and ossified chronic subdural hematoma was noted and was almost completely removed by craniotomy. Better seizure control was achieved by removal of the calcified chronic subdural hematoma. Calcified subdural hematoma, calcified epidural hematoma, calcified empyema, meningioma, calcified arachnoid cyst, and calcified convexity of the dura mater with acute epidural hematoma should be considered for the differential diagnosis of an extra-axial calcified lesion.
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