Calcified chronic subdural hematoma - Case report

Chronic subdural hematoma (CSH) is a well-known disease entity; however, calcified chronic subdural hematoma (CCSH) is uncommon. We report on a 59-year-old man who had sudden onset of left hemiplegia one year before admission. Brain CT scan showed right thalamic hemorrhage and one large calcified subdural hemaotma over the right fronto-temporo-parietal area. No surgical intervention was done then. He had a regular rehabilitation program and his muscle power improved gradually. However progressive deterioration in left side muscle power and left hemibody numbness was noted recently. He could not walk and needed to use a wheel chair. Unenhanced computed tomography and magnetic resonance imaging of the brain showed a CSH with calcified capsule over the right fronto-temporo-parietal area and the hematoma had a marked mass effect. He underwent surgery and the CCSH was excised totally. The patient recovered well. He could walk with a quadricane soon after surgery. He is improving after one year and 2 months of follow up. We feel surgical treatment for CCSH is feasible and often results in neurological improvement.