Chronic epidural hematoma with rapid ossification

Jong Hee Chang; Jae Young Choi; Jin Woo Chang; Young Gou Park; Tai Seung Kim; Sang Sup Chung; Tai Seung Kim

doi:10.1007/s00381-002-0664-2

Chronic epidural hematoma with rapid ossification

Jong Hee Chang, Jae Young Choi, Jin Woo Chang, Young Gou Park, Tai Seung Kim, Sang Sup Chung, Tai Seung Kim

Department of Neurosurgery

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

Case report: The authors present a rare case of ossified chronic epidural hematoma. A 13-year-old female patient presented with an ossified chronic epidural hematoma. She had sustained a head injury about 10 weeks previously and had received conservative care for a delayed-onset epidural hematoma at a local hospital. Ossification was identified about 4 weeks after the head injury and then progressed rapidly. A chronic epidural hematoma with a thick collagenous capsule and newly formed bone was removed 73 days after the head injury. Conclusion: An epidural hematoma with mild symptoms can be treated conservatively. When, however, the hematoma is observed not to be naturally absorbed during serial follow-up examinations, surgical removal must be considered, even if the patient's condition is good, because this entity carries the risk of bone calcification and ossification.

Original language	English
Pages (from-to)	712-716
Number of pages	5
Journal	Child's Nervous System
Volume	18
Issue number	12
DOIs	https://doi.org/10.1007/s00381-002-0664-2
Publication status	Published - 2002 Dec 1

Bibliographical note

Funding Information:
Acknowledgement This study was supported by the Brain Korea 21 Project for Medical Science, Yonsei University in 2001.

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health
Clinical Neurology

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title = "Chronic epidural hematoma with rapid ossification",

abstract = "Case report: The authors present a rare case of ossified chronic epidural hematoma. A 13-year-old female patient presented with an ossified chronic epidural hematoma. She had sustained a head injury about 10 weeks previously and had received conservative care for a delayed-onset epidural hematoma at a local hospital. Ossification was identified about 4 weeks after the head injury and then progressed rapidly. A chronic epidural hematoma with a thick collagenous capsule and newly formed bone was removed 73 days after the head injury. Conclusion: An epidural hematoma with mild symptoms can be treated conservatively. When, however, the hematoma is observed not to be naturally absorbed during serial follow-up examinations, surgical removal must be considered, even if the patient's condition is good, because this entity carries the risk of bone calcification and ossification.",

author = "Chang, {Jong Hee} and Choi, {Jae Young} and Chang, {Jin Woo} and Park, {Young Gou} and Kim, {Tai Seung} and Chung, {Sang Sup} and Kim, {Tai Seung}",

note = "Funding Information: Acknowledgement This study was supported by the Brain Korea 21 Project for Medical Science, Yonsei University in 2001.",

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AU - Chang, Jong Hee

AU - Choi, Jae Young

AU - Chang, Jin Woo

AU - Park, Young Gou

AU - Kim, Tai Seung

AU - Chung, Sang Sup

AU - Kim, Tai Seung

N1 - Funding Information: Acknowledgement This study was supported by the Brain Korea 21 Project for Medical Science, Yonsei University in 2001.

PY - 2002/12/1

Y1 - 2002/12/1

N2 - Case report: The authors present a rare case of ossified chronic epidural hematoma. A 13-year-old female patient presented with an ossified chronic epidural hematoma. She had sustained a head injury about 10 weeks previously and had received conservative care for a delayed-onset epidural hematoma at a local hospital. Ossification was identified about 4 weeks after the head injury and then progressed rapidly. A chronic epidural hematoma with a thick collagenous capsule and newly formed bone was removed 73 days after the head injury. Conclusion: An epidural hematoma with mild symptoms can be treated conservatively. When, however, the hematoma is observed not to be naturally absorbed during serial follow-up examinations, surgical removal must be considered, even if the patient's condition is good, because this entity carries the risk of bone calcification and ossification.

AB - Case report: The authors present a rare case of ossified chronic epidural hematoma. A 13-year-old female patient presented with an ossified chronic epidural hematoma. She had sustained a head injury about 10 weeks previously and had received conservative care for a delayed-onset epidural hematoma at a local hospital. Ossification was identified about 4 weeks after the head injury and then progressed rapidly. A chronic epidural hematoma with a thick collagenous capsule and newly formed bone was removed 73 days after the head injury. Conclusion: An epidural hematoma with mild symptoms can be treated conservatively. When, however, the hematoma is observed not to be naturally absorbed during serial follow-up examinations, surgical removal must be considered, even if the patient's condition is good, because this entity carries the risk of bone calcification and ossification.

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