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Bilateral organized chronic subdural haematomas: High field magnetic resonance images and histological considerations
Authors:M Fujioka MD  K Okuchi  S Miyamoto  T Sakaki  S Tsunoda  S Iwasaki
Institution:(1) Department of Neurosurgery, Nara Medical University, Kashihara, Japan;(2) Department of Emergency and Critical Care Medicine, Nara Medical University, Kashihara, Japan;(3) Department of Radiology, Nara Medical University, Kashihara, Japan;(4) Department of Neurosurgery, Osaka Police Hospital, 10-31, Kitayama-cho, Ten-nouji, 543 Osaka, Japan
Abstract:Summary The authors describe a 66-year-old man with progressive gait disturbance caused by bilateral organized chronic subdural haematomas. The characteristics of these lesions on magnetic resonance (MR) images have not yet been clarified. The organized haematoma in our patient exhibited slight hypo-intensity on T 1-weighted MR images and marked hypo-intensity on T 2-weighted MR images obtained at 1.5 T. Preoperative MR imaging may give us useful information about surgical strategy in the case of chronic subdural haematoma with an unusual appearance on computed tomographic (CT) scans.
Keywords:Organized chronic subdural haematoma  high field MRI  histology  growth mechanism
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