Document Detail


Organized chronic subdural hematoma requiring craniotomy--five case reports.
MedLine Citation:
PMID:  11218635     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two child and three elderly patients underwent craniotomy for organized and/or partially calcified chronic subdural hematomas (CSHs). The characteristic feature of magnetic resonance imaging was a heterogeneous web-like structure in the hematoma cavity. Both children had undergone one side subduroperitoneal shunt for bilateral CSHs when infants. As a result, the opposite hematoma cavities persisted and developed into calcified CSHs after a couple of years. All three elderly patients with senile brain atrophy showed various systemic complications such as cerebral infarction, diabetes mellitus, leg ulceration, cirrhosis, and bleeding tendency. Craniotomy for removal of the hematoma and calcification achieved good results in all patients. Subdural space created by shunt, craniotomy, or brain atrophy and persisting for a certain period, and additional various brain damage such as microcirculatory disorder, meningitis, encephalitis, or premature delivery may be important in generating calcified or organized CSH.
Authors:
S Imaizumi; T Onuma; M Kameyama; H Naganuma
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  41     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-02-20     Completed Date:  2001-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  19-24     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Sendai City Hospital, Sendai.
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MeSH Terms
Descriptor/Qualifier:
Aged
Calcinosis / diagnosis,  surgery
Child, Preschool
Craniotomy*
Hematoma, Subdural, Chronic / diagnosis,  surgery*
Humans
Magnetic Resonance Imaging
Male
Reoperation
Treatment Outcome
Trephining

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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