Publication:
An early presentation of a large calcified chronic subdural hematoma presenting as an inner eggshell in an elderly patient: A case report

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Issued Date

2020

Resource Type

Article

File Type

application/pdf

ISSN

22102612

DOI

10.1016/j.ijscr.2020.07.005

Other identifier(s)

2-s2.0-85087945485

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

International Journal of Surgery Case Reports. Vol 73, (2020), p.150-153

Suggested Citation

Songnatsiri P., Ounahachok T., Atikankul T., Thananon J., Sookpotarom P. An early presentation of a large calcified chronic subdural hematoma presenting as an inner eggshell in an elderly patient: A case report. International Journal of Surgery Case Reports. Vol 73, (2020), p.150-153. doi:10.1016/j.ijscr.2020.07.005 Retrieved from: https://hdl.handle.net/20.500.14740/4780

Title

An early presentation of a large calcified chronic subdural hematoma presenting as an inner eggshell in an elderly patient: A case report

Author(s)

Songnatsiri P.
 Ounahachok T.
 Atikankul T.
 Thananon J.
 Sookpotarom P.

Abstract

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)

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/4780

Collections

Scopus: Year 1983-2021

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