Case ReportOssified Chronic Subdural Hematoma in Children: Case Report and Review of Literature
Introduction
Chronic subdural hematoma (CSDH) is a frequently encountered problem in neurosurgery practice.1 It is usually thought of as a traumatic lesion in head injury. Nevertheless, ossified chronic subdural hematomas are extremely rare, especially in children.2, 3, 4 Although it can be diagnosed in any age group, the incidence rises appreciably in the elderly population.5 Almost no related articles report characteristic imaging of ossified chronic subdural hematoma in children up to now. In the rest of the article, we report a case of ossified chronic subdural hematoma in a 7-year-old female child, with a literature review.
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Case Report
Our department admitted a 7-year-old female patient who had epileptic seizures an hour after a head injury. The patient denied that she had a history of head trauma or epilepsy. Neurologic and physical examination were unremarkable. In addition, there were no bleeding tendencies, metabolic changes, endocrinologic disorders, or other abnormalities according to blood tests. Computed tomography multiplanar reconstruction images revealed the subdural hematoma with annular calcification in the left
Discussion
CSDH is a common problem encountered in neurosurgery practice.1 McKissock et al6 reported this disease for the first time after follow-up. It is a complication of head trauma, which usually happens after a minor head injury. Headache is the most obvious symptom of chronic subdural hematoma, followed by confusion of thinking, lethargy, memory impairment, and epilepsy.6 However, the mechanism of pathogenesis is still unclear and there are no absolute opinions regarding the clinical diagnosis and
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Conflict of interest statement: We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, this manuscript.