Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma
Background. Chronic subdural hematoma is a common disease in neurosurgery, but organized chronic subdural hematoma is rarely seen clinically. This article reports a case of misdiagnosis of organized chronic subdural hematoma as acute epidural hematoma. Through literature review, the causes of misdia...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/6645752 |
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| author | Jun Cao Zhichun Wang Cegang Liu Jun Shen Jincheng Fang |
| author_facet | Jun Cao Zhichun Wang Cegang Liu Jun Shen Jincheng Fang |
| author_sort | Jun Cao |
| collection | DOAJ |
| description | Background. Chronic subdural hematoma is a common disease in neurosurgery, but organized chronic subdural hematoma is rarely seen clinically. This article reports a case of misdiagnosis of organized chronic subdural hematoma as acute epidural hematoma. Through literature review, the causes of misdiagnosis and the treatment methods of organized chronic subdural hematoma are discussed. Case Description. A 70-year-old male patient was admitted to the hospital due to headache and dizziness after head trauma. Emergency head CT reported “left frontotemporal parietal epidural hematoma.” Because the head CT showed that the hematoma occupying effect was obvious, an emergency “intracranial hematoma evacuation” was performed. After opening the skull during the operation, no epidural hematoma was seen. Upon incision of the dura mater, the outer membrane of organized chronic subdural hematoma was found. When the outer membrane was cut open, a large amount of reddish-brown silt-like materials was found in the capsule cavity. The inner membrane was not forcibly removed. Postoperative head CT showed that the organized chronic subdural hematoma was basically cleared. Conclusion. The early symptoms of organized chronic subdural hematoma are atypical, with insidious onset and easy misdiagnosis. By carefully inquiring about the medical history and carefully reading the head CT, such misdiagnosis can be avoided. Craniotomy is currently an important treatment option for organized chronic subdural hematoma. |
| format | Article |
| id | doaj-art-a2d50008c6b949fd8746274f170bf0c3 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a2d50008c6b949fd8746274f170bf0c32025-02-03T01:29:35ZengWileyCase Reports in Medicine1687-96352023-01-01202310.1155/2023/6645752Organized Chronic Subdural Hematoma Mimicking Acute Epidural HematomaJun Cao0Zhichun Wang1Cegang Liu2Jun Shen3Jincheng Fang4Department of NeurosurgeryDepartment of NeurosurgeryDepartment of NeurosurgeryDepartment of NeurosurgeryDepartment of NeurosurgeryBackground. Chronic subdural hematoma is a common disease in neurosurgery, but organized chronic subdural hematoma is rarely seen clinically. This article reports a case of misdiagnosis of organized chronic subdural hematoma as acute epidural hematoma. Through literature review, the causes of misdiagnosis and the treatment methods of organized chronic subdural hematoma are discussed. Case Description. A 70-year-old male patient was admitted to the hospital due to headache and dizziness after head trauma. Emergency head CT reported “left frontotemporal parietal epidural hematoma.” Because the head CT showed that the hematoma occupying effect was obvious, an emergency “intracranial hematoma evacuation” was performed. After opening the skull during the operation, no epidural hematoma was seen. Upon incision of the dura mater, the outer membrane of organized chronic subdural hematoma was found. When the outer membrane was cut open, a large amount of reddish-brown silt-like materials was found in the capsule cavity. The inner membrane was not forcibly removed. Postoperative head CT showed that the organized chronic subdural hematoma was basically cleared. Conclusion. The early symptoms of organized chronic subdural hematoma are atypical, with insidious onset and easy misdiagnosis. By carefully inquiring about the medical history and carefully reading the head CT, such misdiagnosis can be avoided. Craniotomy is currently an important treatment option for organized chronic subdural hematoma.http://dx.doi.org/10.1155/2023/6645752 |
| spellingShingle | Jun Cao Zhichun Wang Cegang Liu Jun Shen Jincheng Fang Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma Case Reports in Medicine |
| title | Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma |
| title_full | Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma |
| title_fullStr | Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma |
| title_full_unstemmed | Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma |
| title_short | Organized Chronic Subdural Hematoma Mimicking Acute Epidural Hematoma |
| title_sort | organized chronic subdural hematoma mimicking acute epidural hematoma |
| url | http://dx.doi.org/10.1155/2023/6645752 |
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