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Chronic subdural hematoma simulating transient cerebral ischemic attacks. Case report.

E Melamed, S Lavy, A Reches

    Journal of Neurosurgery
    |January 1, 1975
    PubMed
    Summary

    Chronic subdural hematoma can mimic transient ischemic attacks (TIAs). This case highlights unusual neurological symptoms, including recurrent expressive dysphasia, that may be caused by subdural hematomas.

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    Area of Science:

    • Neurology
    • Neurosurgery

    Background:

    • Transient ischemic attacks (TIAs) are characterized by temporary neurological deficits.
    • Chronic subdural hematomas (CSDHs) are collections of blood that can cause neurological symptoms.
    • The presentation of CSDH can vary widely and sometimes mimic other neurological conditions.

    Purpose of the Study:

    • To report a case where chronic subdural hematoma mimicked transient ischemic attacks.
    • To discuss the potential pathophysiological mechanisms behind this unusual presentation.

    Main Methods:

    • Case report presentation.
    • Review of clinical manifestations.
    • Consideration of pathophysiological mechanisms.

    Main Results:

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    • The patient presented with recurrent episodes of expressive dysphasia.
    • These episodes were preceded by focal sensory deficits.
    • The clinical picture simulated transient ischemic attacks.

    Conclusions:

    • Chronic subdural hematoma should be considered in the differential diagnosis of patients presenting with symptoms suggestive of TIAs.
    • Unusual neurological presentations can arise from CSDH due to various pathophysiological mechanisms.