Calcified Chronic Subdural Hematoma : Late Sequele of Shunt Operation in a Child with Hydrocephalus - Case Report -

소아에서 뇌수두증의 단락술 이후 발생한 석회화된 만성 경막하 혈종 - 증례보고 -

  • Park, Juno (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Kwon, Taek-Hyun (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Park, Youn-Kwan (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Chung, Hung-Seob (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lee, Hoon-Kap (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Suh, Jung-Keun (Department of Neurosurgery, College of Medicine, Korea University)
  • 박준오 (고려대학교 의과대학 신경외과학교실) ;
  • 권택현 (고려대학교 의과대학 신경외과학교실) ;
  • 박윤관 (고려대학교 의과대학 신경외과학교실) ;
  • 정흥섭 (고려대학교 의과대학 신경외과학교실) ;
  • 이훈갑 (고려대학교 의과대학 신경외과학교실) ;
  • 서중근 (고려대학교 의과대학 신경외과학교실)
  • Received : 2000.01.29
  • Accepted : 2000.05.08
  • Published : 2000.07.28

Abstract

Post-shunting subdural hemorrhages are usually small and self-limited, and they can be recognized on the routine post-operative CT examinations. However, delayed subdural bleeding may occur without any clinical symptoms or signs. Thus the hematoma remains undetected, and it can be increased in size and sometimes become calcified with time. We experienced a case of 15-year-old male with a large calcified subdural hematoma who had undergone shunt operation 10 years previously. With pertinent review of the literatures, we discuss the possible mechanism of calcification and the proper way of treatment in calcified chronic subdural hematoma.

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