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Journal of Korean Neurosurgical Society 2006;40(3): 199-201. |
| Tumor-Like Presentation of Organized Chronic Subdural Hematoma. |
| Do Kwon Youn, Yoon Kyung Sohn, Jaechan Park |
1Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea. jparkmd@hotmail.com
2Department of Pathology, School of Medicine, Kyungpook National University, Daegu, Korea. |
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| ABSTRACT |
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An organizing hematoma with tumor-like presentation in association with a chronic subdural hematoma(CSDH) has not been reported. Most reported cases of an intracranial mass in association with a CSDH have been associated with primary or metastatic neoplasm. A 72-year-old man presenting with an intracranial contrast-enhancing mass in association with a CSDH in magnetic resonance images is reported. Operative exploration revealed the mass to be an organized hematoma adjoining cortical draining veins between the outer and inner membranes of a chronic subdural hematoma. This report adds another important differential diagnosis to various primary and metastatic neoplasms that have been reported in the literature when encountering an intracranial mass in association with a CSDH. Neurosurgeons should be aware of the possibility and, if necessary, should apply more diagnostic modalities than magnetic resonance images before deciding management plans. |
| Key Words:
Chronic subdural hematoma; Tumor-like lesion; Organized hematoma |
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