Chronic encapsulated intracerebral hematoma: Three case reports and a literature review

Akira Nishiyama; Hiroyuki Toi; Hiroki Takai; Satoshi Hirai; Kimihiko Yokosuka; Nobuhisa Matsushita; Kazuhiro Hirano; Shunji Matsubara; Hirotake Nishimura; Masaaki Uno
January 2014
Surgical Neurology International;Jan2014, Vol. 5 Issue 1, p434
Academic Journal
Case Study
Background: Chronic encapsulated intracerebral hematoma (CEIH) is one type of intracerebral hematoma that sometimes grows progressively while forming a capsule and presenting with neurological deficits. Although many cases of CEIH have been reported, correct preoperative diagnosis is very difficult. Only around 20% of cases are diagnosed preoperatively. Case Description: We encountered three cases of CEIH in which causes were unidentified and difficult to diagnose. All three cases were treated surgically. In the first case, a 59-year-old male was diagnosed preoperatively with metastatic brain tumor. In the second case, a 62-year-old female was diagnosed preoperatively with glioblastoma. The third case involved a 58-year-old female diagnosed preoperatively with CEIH. Conclusion: We should keep in mind that CEIH is a differential diagnosis for intracerebral space-occupying lesions. This report describes these three cases and discusses imaging findings and characteristics of CEIH.


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