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Periodic lateralized epileptiform discharges associated with subdural hematoma
Summary
This case study highlights bilateral subdural hematomas causing neurological symptoms like visual hallucinations and seizures. Surgical intervention led to patient recovery, suggesting hematomas as the cause of PLEDS.
Area of Science:
- Neurology
- Neurosurgery
- Clinical Neuroscience
Background:
- Subdural hematomas can present with diverse neurological symptoms.
- Periodic lateralized epileptiform discharges (PLEDS) on EEG indicate focal brain dysfunction.
Observation:
- A patient presented with acute onset headaches, visual hallucinations, and urinary incontinence.
- EEG revealed right-sided PLEDS, followed by a generalized seizure.
- Diagnosis of bilateral subdural hematomas was established through clinical and laboratory data.
Findings:
- Bilateral subdural hematomas were identified as the sole cause for the observed PLEDS.
- The patient experienced a generalized seizure on the fifth hospital day.
Implications:
- Surgical evacuation of subdural hematomas can resolve associated neurological deficits and EEG abnormalities.
- This case underscores the importance of considering subdural hematomas in the differential diagnosis of acute neurological presentations with PLEDS.