Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/12073
ชื่อเรื่อง: An early presentation of a large calcified chronic subdural hematoma presenting as an inner eggshell in an elderly patient: A case report
ผู้แต่ง: Songnatsiri P.
Ounahachok T.
Atikankul T.
Thananon J.
Sookpotarom P.
Keywords: aged
Article
atrial fibrillation
brain cortex
brain infarction
calcified chronic subdural hematoma
caregiver
case report
clinical article
computer assisted tomography
consciousness level
conservative treatment
craniotomy
dura mater
dysarthria
egg shell
emergency ward
epidural hematoma
falling
follow up
Glasgow coma scale
head injury
heart failure
hemiparesis
human
inner membrane
intraoperative period
major surgery
male
mental deterioration
nursing home
pneumonia
postoperative period
priority journal
prostate hypertrophy
pulse oximetry
right hemisphere
subdural hematoma
suffocation
takotsubo cardiomyopathy
tracheostomy
ventilator associated pneumonia
vital sign
voluntary movement
wheezing
x-ray computed tomography
วันที่เผยแพร่: 2020
บทคัดย่อ: Introduction: Calcified chronic subdural hematoma which is usually found in children and takes several months for calcification to be seen on imaging is presented in an elderly patient in which the calcification could be visible early after trauma. Presentation of case: An elderly man, 83, living with caregiver, was brought to our hospital due to dysarthria and suffocation for 2 days. Three months ago, he experienced his head injury from a fall. Four days ago, he developed progressive left hemiparesis. Because of clinically progressive deterioration and computed tomography scan revealing acute epidural hematoma, the patient was transferred to operating room. Gross findings and pathologic reports unfolded that the lesion was consistent with calcified chronic subdural hematoma. Despite a successful operation, the patient cannot survive. Discussion: In addition to the presentation in an elderly patient, there was scarcely any paper reporting an early presentation of calcium deposition. Nevertheless, according to the lack of previous data recorded for his earlier performance, deviation on walking or sitting, before the accident, we cannot actually know whether there has been calcium deposition in his brain before or not. Conclusion: Calcified chronic subdural hematoma could present in elderly group of patient and early presentation of calcium deposition following trauma is possible. However, surgery in this group of patient entails a risk of fatality, despite the successful operation. © 2020 The Author(s)
URI: https://ir.swu.ac.th/jspui/handle/123456789/12073
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087945485&doi=10.1016%2fj.ijscr.2020.07.005&partnerID=40&md5=b85f5f8ceaa52259e7f41a5026743985
ISSN: 22102612
Appears in Collections:Scopus 1983-2021

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