Dual Chronic Ossified Epidural Hematomas Presented with Seizures 23 Years after Head Injury in an Adult Male: Case Report and Literature Review

Abstract

The authors report a rare case of dual chronic ossified epidural hematomas (EDHs) in a 35-year-old man with complaint of seizures after 23 years of head injury. Ossified EDH is a rare entity, and it commonly presents in pediatric age group. Presenting symptoms include headache and very rarely seizures. Asymptomatic cases may produce symptoms after decades; hence, regular follow-up is required. Treatment includes craniotomy or conservative management.

Keywords

ossified epidural hematoma - seizures - craniotomy

• References

• 1 Huda MF, Mohanty S, Sharma V, Tiwari Y, Choudhary A, Singh VP. Double extradural hematoma: an analysis of 46 cases. Neurol India 2004; 52 (04) 450-452
• 2 Bayri Y, Ulas AK, Aykan U, Kaya AH, Dagcinar A. Iatrogenic chronic calcified/ossified epidural hematoma: case report. J Nervous Sys Surgery 2009; 2 (02) 91-94
• 3 Whisler WW, Voris HC. Ossified epidural hematoma following posterior fossa exploration. Report of a case.. J Neurosurg 1965; 23 (02) 214-216
• 4 Trivedi A, Hiran S. Calcified epidural hematoma in pediatric age group: a report of two cases. J Neurosci Rural Pract 2010; 1 (02) 89-91
• 5 Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N. Rapidly calcifying and ossifying epidural hematoma. Pediatr Neurosurg 2003; 39 (04) 208-211
• 6 Mathuriya SN, Kak VK, Banerjee AK. Ossified epidural haematoma. Report of two cases. Clin Neurol Neurosurg 1989; 91 (03) 269-272
• 7 Nagane M, Oyama H, Shibui S, Nomura K, Nakanishi Y, Kamiya M. Ossified and calcified epidural hematoma incidentally found 40 years after head injury: case report. Surg Neurol 1994; 42 (01) 65-69
• 8 Yu DK, Heo DH, Cho SM, Cho YJ. Rapidly calcified epidural hematoma in a neonate. J Korean Neurosurg Soc 2008; 44 (02) 98-100
• 9 Han SR. Conservative management of a rapidly calcifying epidural hematoma in a young male patient. Interdisciplinary Neurosurgery 2015; 2 (04) 183-185
• 10 Nitta T, Hatashita S, Koga N, Sugimura J, Sakakibara T, Takagi S. A case of calcified epidural hematoma. Article in Japanese]. Jpn J Clin Radiol 1984; 29: 603-605
• 11 Cambria S, Marra GA, Di Perri R, Bramanti P. Ossified epidural hematoma. Report of a case with epilepsy. J Neurosurg Sci 1985; 29 (03) 285-288
• 12 Iwakuma T, Brunngraber CV. Extradural ossification following an extradural hematoma. Case report. J Neurosurg 1974; 41 (01) 104-106
• 13 Kawata Y, Kunimoto M, Sako K. et al. Ossified epidural hematomas: report of two cases. [in Japanese] No Shinkei Geka 1994; 22 (01) 51-54