Pseudotumoral Chronic Subdural Hematomas on Two Cases - Open Journal of Modern Neurosurgery

OJMN > Vol.8 No.1, January 2018

Pseudotumoral Chronic Subdural Hematomas on Two Cases ()

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DOI: 10.4236/ojmn.2018.81005 944 Downloads 1,963 Views Citations

Author(s)

Essossinam Kpélao^1*, Kadanga Anthony Békéti¹, Komi Egu¹, Komlan Messan Hobli Ahanogbe¹, Abd El Kader Moumouni¹, Agbeko Komlan Doléagbenou¹, Essolim Hodabalo Bakondé¹, Abdoul Kérim Ouiminga²

Affiliation(s)

¹Service de Neurochirurgie, CHU Sylvanus Olympio, Lomé, Togo.
²Service de Neurochirurgie, CHU Yalgado, Ouagadougou, Burkina Faso.

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.

KEYWORDS

Calcified Subdural Hematomas, Pseudo, Tumor Symptomatology, Overdrainage

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.

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