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Journal of Neurosurgical Sciences 2002 March;46(1):28-31

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

“Matrioska head”. Case report of calcified chronic subdural hematoma

Sgaramella E. 1, Sotgiu S. 2, Miragliotta G. 1, Fotios Kalfas Crotti F. M. 1

1 Department of Neurosurgery, University School of Medicine, Sassari; 2Institute of Clinical Neurology, University School of Medicine, Sassari


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We ­report an asymp­to­mat­ic ­case of a ­large calcified chronic subdural hematoma (­CCSH). Skull X-ray exam­ina­tion, computer tomography (CT) and magnetic resonance imaging (MRI), ­showed an adher­ing cal­cifi­ca­tion extend­ing to the ­whole cere­bral cor­tex, as if the ­skull had ­another con­cen­tric ­skull ­inside it. These radio­log­i­cal find­ings ­recall the ­famous Rus­sian ­doll ­named “Matrioska”; for ­this rea­son we ­defined ­this ­case “Matrioska head”. The ­patient was abso­lute­ly asymp­to­mat­ic and we dis­cuss the caus­es ­that may ­give the cal­cifi­ca­tion of chronic subdural hematoma (CSH).

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