A Rare Case of Ossified Chronic Subdural Hematoma Complicated with Tension Pneumocephalus

Abstract

A 59-year-old man presented with epileptic seizures interpreted as episodic syncope in the past 3 years and the patient had a history of head trauma about 4 years ago. Computed tomography revealed an ossified chronic subdural hematoma involving the right frontotemporoparietal region, which was totally resected using microsurgical technique. Postoperatively, weakness developed in right arm and magnetic resonance imaging revealed a bilateral tension pneumocephalus, which was immediately treated by a left frontal burr hole trepanation, and the patient was discharged uneventfully.

Keywords

chronic subdural hematoma - postoperative complication - tension pneumocephalus

• References

• 1 Turgut M, Palaoğlu S, Sağlam S. Huge ossified crust-like subdural hematoma covering the hemisphere and causing acute signs of increased intracranial pressure. Childs Nerv Syst 1997; 13 (07) 415-417
• 2 Turgut M, Samancoğlu H, Ozsunar Y, Erkuş M. Ossified chronic subdural hematoma. Cent Eur Neurosurg 2010; 71 (03) 146-148
• 3 Tsai CC, Chao CM. Tension pneumocephalus with Mount Fuji sign. Intern Med 2017; 7: 3
• 4 Sanyal P, Bele K, Vishwanath Rai SP. Tension pneumocephalus: Mount Fuji sign. Arch Med Health Sci 2015; 3: 352-353