Bilateral Ossified Chronic Subdural Hematoma Presenting as Diabetes Insipidus—Case Report and Literature Review

Siddiqui, Saquib; Singh, Pankaj Kumar; Sawarkar, Dattaraj; Singh, Meharban; Sharma, Bhawani S.

doi:10.1016/j.wneu.2016.11.031

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…2 VP şant cerrahisi sonrası gelişen subdural hemoraji ya da higroma, aşırı drenaj ile ilişkilendirilmiştir. İlginç olarak, ossifiye subdural hematomların endoskopik üçüncü ventrikülostominin bir komplikasyonu olarak ortaya çıktığına ilişkin bir bildiri bulunmamaktadır.…”

Section: Resi̇munclassified

“…Bu nedenle "ossifikasyon" terimi subdural alanda kemik oluşumunun eşlik ettiği hastalarda kullanılmaktadır. 2,3 PatoOssifiye Kronik Subdural Hematom Ö ÖZ ZE ET T Ossifiye kronik subdural hematom, nadir görülen bir hastalık olup etiyopatogenezi net olarak aydınlatılamamıştır. Hastalar baş ağrısı, hemiparezi/hemipleji, nöbet, senkop, hafıza kaybı, şuur bozukluğu ile başvurabilecekleri gibi asemptomatik de olabilmektedirler.…”

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Ossified Chronic Subdural Hematoma: Case Report

Sürme¹,

Hergunsel²,

Ertuğrul³

et al. 2017

Turkiye Klinikleri J Neur

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Ossified Chronic Subdural Hematoma: Case Report

Sürme¹,

Hergunsel²,

Ertuğrul³

et al. 2017

Turkiye Klinikleri J Neur

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“…Ossified subdural chronic hematoma (OSCH) is a very rare manifestation that occurs in only 0.3–2% of CSDHs. Children and young adults are more likely to have OSCH than older people, and OSCH is usually observed in post-traumatic subdural hematomas (SDHs) 2 , 3 . The pathophysiology of OSCH is not fully understood; poor circulation and absorption lead to stasis of the subdural fluid due to thick surrounding membranes, venous thrombosis, the prolonged presence of hematoma, the metabolic predisposition for calcification, and poor venous outflow are factors that may be implicated in the pathogenesis of OSCH.…”

Section: Introductionmentioning

confidence: 99%

“…Ossification is the final step in the development of CSDHs, preceded by hyalinization and calcification. As a result, calcification takes a few months to occur, whereas ossification takes many years, and the term ‘OSCH’ should only be used for hematomas that show signs of bone development 3 . There are variances in the symptoms and findings.…”

Section: Introductionmentioning

confidence: 99%

A post-traumatic ossified subdural chronic hematoma successfully managed in a 34-year-old woman: a case report

Mansour¹,

Adi

Mousa

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Ossified or calcified subdural chronic hematoma is an uncommon condition with an incidence of 0.3–2% of all chronic subdural hematomas. It can cause significant mortality and morbidity, especially in young patients. Because of the rare incidence of this condition, its pathophysiology and management preferences have not yet been clearly established, which raises the importance of reporting such cases in order to add valuable databases to the literature. Case Presentation: A 34-year-old woman with a history of head trauma several years ago presented with refractory headaches, convulsions, and muscle weakness. Computed tomography showed an extra-axial calcified lesion in the frontal lobe. Surgical treatment was decided considering the patient’s age, in addition to the presence of serious medically uncontrolled symptoms. The calcified lesion was successfully removed surgically, and the patient recovered completely. Pathological examination confirmed the diagnosis of ossified subdural chronic hematoma. Clinical Discussion: The symptoms of ossified subdural hematomas are not specific. However, the presence of a history of head trauma should raise suspicion of this condition. Computerized tomography is usually used as the diagnostic method. Nevertheless, it is unable to differentiate ossified chronic subdural hematomas from other intracranial extra-axial calcified lesions that need to be considered as a differential diagnosis. Pathologic investigations are needed to provide the final diagnosis. Conclusions: We highly recommend surgical therapy for ossified subdural hematomas that are symptomatic and persistent, especially in young patients. We further stress the significance of postsurgical anticonvulsant prophylaxis, particularly in patients presenting convulsions.

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“…The patient had a good recovery. Ossification of chronic subdural hematoma is rare, 1 and may be caused by head injury, surgeries, intracranial infections, and alcoholism. 2 Vascular, metabolic and some local factors may play a part in this process.…”

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confidence: 99%