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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.
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