Calcified Intracranial Masses

Watts, Jonathan M.; Singh, Jasmeet; Schoppe, Candace H.; Johnson, Adam G.

doi:10.1007/s00062-011-0101-6

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…The lack of specific data regarding the amount and configuration of calcium salts that would allow detection by plain x-ray is compounded by the fact that no consensus exists on how histological characteristics of intracranial calcifications explain the appearance of intracranial calcifications on plain x-rays [3, 5, 6]. Similarly, there is no clear cutoff value as to what “large” pertains to in the definition of brain stones.…”

Section: Introductionmentioning

confidence: 99%

“…The use of various projections has helped localise brain stones and, in some instances, narrow the differential diagnosis [6, 8, 9]. The introduction of the Potter-Bucky grid in the 1920s further increased the detection rate of skull x-rays [5].…”

Section: Introductionmentioning

confidence: 99%

“…Tuberculosis can result in intracranial calcification in 10–20 % of cases and is usually located supratentorially in adults and infratentorially in children. Calcified tuberculomas can range in size from about a centimetre to several centimetres and can appear as a “broken shell” or a dense centrally located lobulated calcification [6, 10, 44]. Neurocysticercosis is the leading cause of adult-onset seizures in less developed countries, as shown by epidemiological studies, with no consensus on whether the intracranial calcifications are epileptogenic or not [45–47].…”

Section: Introductionmentioning

confidence: 99%

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Brain stones revisited—between a rock and a hard place

et al. 2013

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Objectives and methodsLarge intracranial calcifications are occasionally encountered in routine computed tomography (CT) scans of the brain. These calcifications, also known as “brain stones”, can be classified according to location and aetiology. Combining imaging findings with relevant clinical history and physical examination can help narrow down the differential diagnosis and may allow confident diagnosis in certain situations.ResultsThis article provides a pictorial review illustrating various clinical entities resulting in brain stones.DiscussionBased on location, brain stones can be classified as extra- or intra-axial. Extra-axial brain stones comprise tumours and exaggerated physiological calcifications. Intra-axial brain stones can further be classified according to aetiology, namely neoplastic, vascular, infectious, congenital and endocrine/metabolic. Imaging findings combined with essential clinical information can help in narrowing the differential diagnosis, determining disease state and evaluating effect of therapy.Teaching Points• Based on location, brain stones can be either extra- or intra-axial.• Extra-axial brain stones comprise tumours and exaggerated physiological calcifications.• Intra-axial aetiologies include neoplastic, vascular, infectious, congenital and endocrine/metabolic.• CT scan is the mainstay in identifying and characterising brain stones.• Certain MRI sequences (gradient echo T2* and susceptibility-weighted imaging) are considered adjunctive.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Brain stones revisited—between a rock and a hard place

et al. 2013

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“…There are no guidelines regarding the ideal management of CCSDHs. Several authors 15 16 17 18 have reported that craniotomy has no effect on long-standing symptoms, and thus recommend surgery only when acute or progressive neurological deficits are present. When indicated, the procedure of choice is a matter of controversy.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of the Armored Brain: Case Report of the Treatment of a Chronic Calcified Subdural Hematoma

Girotto

Gago

2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Calcified chronic subdural hematomas (CCSDHs) are rare entities, whose yearly incidence ranges from 1.72 to 20.6 per every 100 thousand persons. Several different approaches to their management are reported in the literature, ranging from conservative treatment to craniotomy with full removal of the neomembranes. Currently, there are no guidelines or consensus that establish the best technique. We herein report a case of symptomatic CCSDH initially drained through a burr-hole craniotomy, with no resolution of the symptoms. Later, our patient underwent a craniotomy and partial membranectomy, which resulted in full symptomatic recovery.

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