BMJ Case Reports 2018; doi:10.1136/bcr-2018-224929
  • Images in…

Chronic calcified subdural haematoma found after presentation of symptomatic glioma

  1. Pasquale Gallo2
  1. 1 Neurosurgery, Western General Hospital, Edinburgh, UK
  2. 2 Neurosugery, Western General Hospital, Edinburgh, UK
  1. Correspondence to Dr Zoe Wing-Yan Chan, zoe17chan{at}
  • Accepted 25 May 2018
  • Published 8 June 2018


A patient with neurofibromatosis 1 and childhood ventriculoperitoneal (VP) shunt insertion for hydrocephalus presented with 4 weeks of short-term and working memory impairment. Apart from right-hand tremor, he denied headache, visual changes, weakness and dyscoordination. A CT head showed a right-sided subdural lesion with 22 mm midline shift. The MRI head showed a right inferior-frontal enhancing mass suspicious of high-grade glioma and right extensively calcified subdural extra-axial collection, with mixed heterogeneous predominantly T1-hyperintense contents (figure 1A).

Figure 1

(A) Preoperative MRI shows a right inferior frontal mass suspicious of high-grade glioma and the extra-axial collection with mixed …

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