Idiopathic brain calcification accompanied by intracranial hemorrhage, a challenging diagnosis

Acute subdural hematoma is a neurosurgical emergency. Emergency and a serious trauma with high mortality rates. Idiopathic brain calcification, also called bilateral striopallidodentate calcinosis, is rare disease characterized by symmetric cerebral calcifications. Calcifications are demonstrated on computed tomography (CT) usually taken for other reasons. CT findings in these cases may be confused with subarachnoid hemorrhaging. A 79-year-old female patient was admitted to the emergency room presenting with seizure and confusion. She had a history of atrial fibrillation for which she was using anticoagulants. On physical and neurologic examinations, she was con- fused with limited orientation and cooperation. Her Glasgow Coma Scale score was 10. Her serum hemoglobin was 9.2 g/dl and her international normalized ratio was 5.02. Her cranial CT revealed bilateral striopallidodentate calcinosis accompanied by an acute subdural hematoma on a bilateral chronic basis and this case was evaluated in light of literature.