Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature
Calcified chronic subdural hematoma (CCSDH) is a rare condition characterized by the accumulation of calcified blood between the dura mater and arachnoid membrane, typically following remote trauma. These lesions often present as space-occupying, extra-axial masses over the cerebral convexity and ca...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332401392X |
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| author | Musharaf Khan, DO Subtain Ali, MD Joe T. Joseph, MD Sanjay Bhatia, MBBS, MS, MBChB, MBA, FAANS, DABA Dhairya A. Lakhani, MD |
| author_facet | Musharaf Khan, DO Subtain Ali, MD Joe T. Joseph, MD Sanjay Bhatia, MBBS, MS, MBChB, MBA, FAANS, DABA Dhairya A. Lakhani, MD |
| author_sort | Musharaf Khan, DO |
| collection | DOAJ |
| description | Calcified chronic subdural hematoma (CCSDH) is a rare condition characterized by the accumulation of calcified blood between the dura mater and arachnoid membrane, typically following remote trauma. These lesions often present as space-occupying, extra-axial masses over the cerebral convexity and can mimic extra-axial tumors, such as calcified meningiomas. A 73-year-old male with a history of prostate cancer, hypertension, and hyperlipidemia presented with vision changes and mild papilledema. CT imaging revealed a hyperdense, heterogeneous mass with localized mass effect, while MRI suggested a calcified meningioma due to minimal enhancement and a Dural tail. Given the mass effect and neurological symptoms, surgical evacuation was performed, and intraoperative findings confirmed a chronic subdural hematoma. Postoperatively, the patient's symptoms improved, and imaging confirmed complete hematoma evacuation. This case highlights the challenges in diagnosing CCSDH, as it can closely resemble other conditions like meningiomas, emphasizing the need for careful radiological assessment and timely surgical intervention. |
| format | Article |
| id | doaj-art-f01e9ec9d73642dbba870b9db3ca225e |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-f01e9ec9d73642dbba870b9db3ca225e2025-01-18T05:04:10ZengElsevierRadiology Case Reports1930-04332025-03-0120316151619Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literatureMusharaf Khan, DO0Subtain Ali, MD1Joe T. Joseph, MD2Sanjay Bhatia, MBBS, MS, MBChB, MBA, FAANS, DABA3Dhairya A. Lakhani, MD4Department of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USADepartment of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USADepartment of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USADepartment of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USADepartment of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USACalcified chronic subdural hematoma (CCSDH) is a rare condition characterized by the accumulation of calcified blood between the dura mater and arachnoid membrane, typically following remote trauma. These lesions often present as space-occupying, extra-axial masses over the cerebral convexity and can mimic extra-axial tumors, such as calcified meningiomas. A 73-year-old male with a history of prostate cancer, hypertension, and hyperlipidemia presented with vision changes and mild papilledema. CT imaging revealed a hyperdense, heterogeneous mass with localized mass effect, while MRI suggested a calcified meningioma due to minimal enhancement and a Dural tail. Given the mass effect and neurological symptoms, surgical evacuation was performed, and intraoperative findings confirmed a chronic subdural hematoma. Postoperatively, the patient's symptoms improved, and imaging confirmed complete hematoma evacuation. This case highlights the challenges in diagnosing CCSDH, as it can closely resemble other conditions like meningiomas, emphasizing the need for careful radiological assessment and timely surgical intervention.http://www.sciencedirect.com/science/article/pii/S193004332401392XCalcified chronic subdural hematomaCalcified meningioma |
| spellingShingle | Musharaf Khan, DO Subtain Ali, MD Joe T. Joseph, MD Sanjay Bhatia, MBBS, MS, MBChB, MBA, FAANS, DABA Dhairya A. Lakhani, MD Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature Radiology Case Reports Calcified chronic subdural hematoma Calcified meningioma |
| title | Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature |
| title_full | Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature |
| title_fullStr | Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature |
| title_full_unstemmed | Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature |
| title_short | Chronic calcified subdural hematoma masquerading as hemorrhagic extra-axial mass: A case report and brief review of the literature |
| title_sort | chronic calcified subdural hematoma masquerading as hemorrhagic extra axial mass a case report and brief review of the literature |
| topic | Calcified chronic subdural hematoma Calcified meningioma |
| url | http://www.sciencedirect.com/science/article/pii/S193004332401392X |
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