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Armoured brain: case report of a symptomatic calcified chronic subdural haematoma

Department of Neurosurgery, Erasmus Medical Centre, Rotterdam, The Netherlands

Correspondence to:
Correspondence to:
Dr R Dammers
Department of Neurosurgery, Erasmus Medical Centre, s Gravendijkwal 230, PO Box 2040, 3000 CA Rotterdam, The Netherlands; r.dammers@erasmusmc.nl

The first 150 words of the full text of this article appear below.

We present the case of a patient with a symptomatic calcified chronic subdural haematoma (CSDH), or a so-called "armoured-brain", who was admitted to our hospital with clinical signs of tentorial herniation.

Figure 1 shows the computed tomography image of this 67-year-old male patient who presented with a Glasgow Coma Score of E₁M₅V₁ and a bilateral oculomotor paresis. Uncal herniation due to a bilateral calcified CSDH can be clearly appreciated. The patient’s medical history showed meningitis at the age of 3 months, resulting in hydrocephalus and mental retardation. His family had noticed numerous falls and frequent headaches over the past 3 months. Furthermore, 6 months previously, he was diagnosed with focal epilepsy due to a left hemisphere infarction.

View larger version (54K):   Figure 1  Computed tomography scan of a patient with armoured brain at admission. Note the uncal herniation and cortical compression due to a bilateral calcified chronic subdural haematoma.