Januarman, - and Muhammad Arifin Parenrengi, - (2021) Calcified chronic subdural hematoma in two young men: Two cases in Dr. Soetomo General Academic Hospital Indonesia. Interdisciplinary Neurosurgery, 35. ISSN 2214-751

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Abstract

Abstract Background Calcified Chronic Subdural Hematomas (CSDH) are uncommon variants of chronic SDH. Clinical manifestation is presented with various symptoms such as seizures, neurological deficits, or even increased intracranial pressure. Otherwise, it may become asymptomatic. The prevalence oftenly affects young male and is related to shunt positioning. However, there is still some controversy about whether the cases should be done by surgical intervention or not. Recovery condition can be accomplished by implementing satisfactory management suitable for the patient. Case report We reported 2 cases of calcified chronic subdural hematoma. First case, male, 20-year-old, was diagnosed with hydrocephalus ex vacuo and calcified chronic SDH in the frontotemporoparietal region bilaterally. He received non-surgical treatment. Second case, a male, 18-year-old, experienced seizure involving both body and extremities one day ago with history of VP shunt placement 14 years ago and was diagnosed with hydrocephalus ex vacuo and calcified chronic SDH in the right frontoparietal region. He was eventually treated conservatively without surgical intervention. There was no complication after served with non-operative treatment reported on both cases. Conclusion Conservative treatments of calcification in chronic subdural haematoma (CSDH) with hydrocephalus ex vacuo and regular observation during hospitalization demonstrated good clinical outcomes.

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