Pseudotumoral Chronic Subdural Hematomas on Two Cases ()
ABSTRACT
Introduction: Calcified forms with
pseudo-tumor symptomatology of chronic subdural hematomas are rare. They are the result of slow bleeding over several
years. The main etiology is related to the complications of the ventriculo-peritoneal
shunt (VP). The purpose of this study was to recall the
peculiarities and physiopathology of its
pseudotumoral hematomas through 2 observations. Observation: Case 1: 8-year-old patient with a history of ventriculoperitoneal shunt at 3
months of age for congenital hydrocephalus, was admitted for functional
impotence of the left-side of the body of insidious onset spreading over 9
months in a chronic headache, blurred vision and generalized seizure. CT scan
showed a heterogeneous subdural hematoma of the right frontoparietal with calcifications. The patient
underwent an excision by morcellation of a yellowish, friable partly calcific
mass. The postoperative history was marked by a total recovery of the
neurological deficit. There was no recurrence at 6 months postoperatively. Case
2: 11-year-old adolescent, treated with VP
shunt at 6 months of age for post-meningitic hydrocephalus, was admitted for
helmet headache, dizziness, lightheadedness and apathy progressing for 3
years. CT scan showed hypodensity of right peri-hemisphere with calcified
linings, exerting a mass effect on the medial structures. The patient was given
a block excision of a calcific mass with blood content. The evolution was marked by the complete resolution of seizures and
hemiparesis. There was no recurrence
at 6 months postoperatively. Conclusion: Calcified subdural hematomas are rare and consecutive to the complications of
VPS. The clinical signs are those of a benign brain tumor. Treatment is
dominated by the difficulties of cerebral reexpression.
Share and Cite:
Kpélao, E. , Békéti, K. , Egu, K. , Ahanogbe, K. , Moumouni, A. , Doléagbenou, A. , Bakondé, E. and Ouiminga, A. (2018) Pseudotumoral Chronic Subdural Hematomas on Two Cases.
Open Journal of Modern Neurosurgery,
8, 72-76. doi:
10.4236/ojmn.2018.81005.