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Nishiyama A, Toi H, Takai H, et al. Chronic encapsulated intracerebral hematoma: Three case reports and a literature review. Surg Neurol Int. 2014;5:88doi: 10.4103/2152-7806.134076.
Nishiyama, A., Toi, H., Takai, H., Hirai, S., Yokosuka, K., Matsushita, N., Hirano, K., Matsubara, S., Nishimura, H., & Uno, M. (2014). Chronic encapsulated intracerebral hematoma: Three case reports and a literature review. Surgical neurology international, 588. https://doi.org/10.4103/2152-7806.134076
Nishiyama, Akira, et al. "Chronic encapsulated intracerebral hematoma: Three case reports and a literature review." Surgical neurology international vol. 5 (2014): 88. doi: https://doi.org/10.4103/2152-7806.134076
Nishiyama A, Toi H, Takai H, Hirai S, Yokosuka K, Matsushita N, Hirano K, Matsubara S, Nishimura H, Uno M. Chronic encapsulated intracerebral hematoma: Three case reports and a literature review. Surg Neurol Int. 2014 Jun 06;5:88. doi: 10.4103/2152-7806.134076. eCollection 2014. PMID: 25024888; PMCID: PMC4093747.
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Surg Neurol Int. 2014 Jun 06;5:88. doi: 10.4103/2152-7806.134076. eCollection 2014.

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

Surgical neurology international

Akira Nishiyama, Hiroyuki Toi, Hiroki Takai, Satoshi Hirai, Kimihiko Yokosuka, Nobuhisa Matsushita, Kazuhiro Hirano, Shunji Matsubara, Hirotake Nishimura, Masaaki Uno

Affiliations

  1. Department of Neurosurgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.
  2. Department of Pathology, Kawasaki Medical School, Kurashiki, Okayama, Japan.

PMID: 25024888 PMCID: PMC4093747 DOI: 10.4103/2152-7806.134076

Abstract

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.

Keywords: Chronic encapsulated intracerebral hematoma; diagnosis; neuroimaging

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