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Indian Journal of Neurotrauma 2016; 13(03): 171-173
DOI: 10.1055/s-0036-1597942
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Calcified Epidural Hematoma in an Adult Patient: A Case Report

Subramanya G.S. Datta
1   Department of Neurosurgery, INHS Asvini, Mumbai, Maharashtra, India
,
Chandraprakash Sharma
2   Department of Surgery, INHS Asvini, Mumbai, Maharashtra, India
› Author Affiliations
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Publication History

04 September 2016

20 December 2016

Publication Date:
28 December 2016 (online)

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Abstract

A rare entity encountered in neurosurgery is calcification of epidural hematoma (EDH). The mechanism of calcification of EDH is still unclear. A 31-year-old adult patient sustained blunt trauma to head as a result of assault leading to loss of consciousness of approximately 15 minutes. Initial noncontrast computed tomography (CT) of the head showed left frontal large EDH. Repeat CT after a week showed resolving EDH. One month after trauma, follow-up CT of the head demonstrated increased amount of hypodensity of EDH and thin inner layer calcification toward the dural side. The patient was treated with conservative management, as he showed no neurologic deficits except mild headache.

Keywords

epidural - hematoma - calcification
 

  • References

  • 1 Chang JH, Choi JY, Chang JW, Park YG, Kim TS, Chung SS. Chronic epidural hematoma with rapid ossification. Childs Nerv Syst 2002; 18 (12) 712-716
    CrossrefPubMedSearch in Google Scholar
  • 2 Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N. Rapidly calcifying and ossifying epidural hematoma. Pediatr Neurosurg 2003; 39 (4) 208-211
    CrossrefPubMedSearch in Google Scholar
  • 3 de Oliveira Sillero R, Zanini MA, Gabarra RC. Large chronic epidural hematoma with calcification: a case report. J Trauma 2008; 64 (6) 1619-1621 , discussion 1621
    CrossrefPubMedSearch in Google Scholar
  • 4 Yu DK, Heo DH, Cho SM, Cho YJ. Rapidly calcified epidural hematoma in a neonate. J Korean Neurosurg Soc 2008; 44 (2) 98-100
    CrossrefPubMedSearch in Google Scholar
  • 5 Seyıthanoglu H, Guzey FK, Emel E, Ozkan N, Aycan A. Chronic ossified epidural hematoma after ventriculoperitoneal shunt insertion: a case report. Turk Neurosurg 2010; 20 (4) 519-523
    PubMedSearch in Google Scholar
  • 6 Kawata Y, Kunimoto M, Sako K , et al. Ossified epidural hematomas: report of two cases [in Japanese]. No Shinkei Geka 1994; 22 (1) 51-54
    PubMedSearch in Google Scholar
  • 7 Buckwalter JA, Cruess RL. Healing of the masculoskeletal tissues. ; In Rockwood CA, Green DP, Bucholz RW, , eds. Fractures in Adults. 3rd ed. Vol. 1. Philadelphia, PA: Lippincott; 1991: 181-222
    Search in Google Scholar
  • 8 Nagane M, Oyama H, Shibui S, Nomura K, Nakanishi Y, Kamiya M. Ossified and calcified epidural hematoma incidentally found 40 years after head injury: case report. Surg Neurol 1994; 42 (1) 65-69
    CrossrefPubMedSearch in Google Scholar
  • 9 Sinha S, Borkar S. Chronic calcified extradural hematoma in a child: case report and review of literature. Indian J Neurotrauma 2008; 5 (1) 51-52
    PubMedSearch in Google Scholar