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A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms

Chronic encapsulated intracerebral hematoma (CEIH) is a rare cerebrovascular disease featuring progressively expanding intracranial hematoma. We treated a man in his 70s with bilateral cerebellar CEIH. He had presented at another hospital with dizziness, and imaging showed two independent hemorrhagi...

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Autores principales: TOMIOKA, Azuna, TAKAHASHI, Satoshi, IMAI, Ryotaro, NOGAWA, Hirotsugu, OKITA, Hajime, UENO, Akihisa, TODA, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9177165/
https://www.ncbi.nlm.nih.gov/pubmed/35693190
http://dx.doi.org/10.2176/jns-nmc.2021-0275
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author TOMIOKA, Azuna
TAKAHASHI, Satoshi
IMAI, Ryotaro
NOGAWA, Hirotsugu
OKITA, Hajime
UENO, Akihisa
TODA, Masahiro
author_facet TOMIOKA, Azuna
TAKAHASHI, Satoshi
IMAI, Ryotaro
NOGAWA, Hirotsugu
OKITA, Hajime
UENO, Akihisa
TODA, Masahiro
author_sort TOMIOKA, Azuna
collection PubMed
description Chronic encapsulated intracerebral hematoma (CEIH) is a rare cerebrovascular disease featuring progressively expanding intracranial hematoma. We treated a man in his 70s with bilateral cerebellar CEIH. He had presented at another hospital with dizziness, and imaging showed two independent hemorrhagic space-occupying lesions in the bilateral cerebellar hemispheres. The symptoms progressed relatively rapidly, and there were signs of impending cerebellar herniation; he was transferred to our institution, and emergency surgery was performed. The operative findings included a hematoma with partial capsulation. We diagnosed CEIH from preoperative magnetic resonance imaging and computed tomography findings, clinical course, and pathological findings. The postoperative course was satisfactory. We present this case of bilateral cerebellar CEIH, as an extensive search of the literature suggests that this has not been reported before. Although CEIH is a condition that is usually hard to diagnose preoperatively, good outcomes can be achieved with appropriate surgical treatment. It is therefore important to keep this clinical entity in mind and not miss the right timing to operate.
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spelling pubmed-91771652022-06-10 A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms TOMIOKA, Azuna TAKAHASHI, Satoshi IMAI, Ryotaro NOGAWA, Hirotsugu OKITA, Hajime UENO, Akihisa TODA, Masahiro NMC Case Rep J Case Report Chronic encapsulated intracerebral hematoma (CEIH) is a rare cerebrovascular disease featuring progressively expanding intracranial hematoma. We treated a man in his 70s with bilateral cerebellar CEIH. He had presented at another hospital with dizziness, and imaging showed two independent hemorrhagic space-occupying lesions in the bilateral cerebellar hemispheres. The symptoms progressed relatively rapidly, and there were signs of impending cerebellar herniation; he was transferred to our institution, and emergency surgery was performed. The operative findings included a hematoma with partial capsulation. We diagnosed CEIH from preoperative magnetic resonance imaging and computed tomography findings, clinical course, and pathological findings. The postoperative course was satisfactory. We present this case of bilateral cerebellar CEIH, as an extensive search of the literature suggests that this has not been reported before. Although CEIH is a condition that is usually hard to diagnose preoperatively, good outcomes can be achieved with appropriate surgical treatment. It is therefore important to keep this clinical entity in mind and not miss the right timing to operate. The Japan Neurosurgical Society 2022-05-18 /pmc/articles/PMC9177165/ /pubmed/35693190 http://dx.doi.org/10.2176/jns-nmc.2021-0275 Text en © 2022 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
spellingShingle Case Report
TOMIOKA, Azuna
TAKAHASHI, Satoshi
IMAI, Ryotaro
NOGAWA, Hirotsugu
OKITA, Hajime
UENO, Akihisa
TODA, Masahiro
A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title_full A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title_fullStr A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title_full_unstemmed A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title_short A Case of Bilateral Cerebellar Chronic Encapsulated Intracerebral Hematoma with Rapidly Progressive Symptoms
title_sort case of bilateral cerebellar chronic encapsulated intracerebral hematoma with rapidly progressive symptoms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9177165/
https://www.ncbi.nlm.nih.gov/pubmed/35693190
http://dx.doi.org/10.2176/jns-nmc.2021-0275
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