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Related Experiment Videos

Transient neurologic deficit caused by chronic subdural hematoma.

H J Kaminski1, M L Hlavin, M J Likavec

  • 1Department of Neurology, MetroHealth Medical Center, Cleveland, Ohio.

The American Journal of Medicine
|June 1, 1992
PubMed
Summary

Transient neurologic deficits, like aphasia, can signal chronic subdural hematoma. Prompt neuroimaging is crucial for diagnosis and timely surgical drainage, which offers a curative outcome.

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Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Chronic subdural hematoma (CSH) is typically associated with persistent neurological deficits.
  • Unusual presentations of CSH, such as transient neurologic deficits, are less commonly recognized.

Observation:

  • This study presents three cases of CSH presenting with transient aphasia and right-sided sensory-motor abnormalities.
  • A literature review identified 32 similar cases, highlighting aphasia (77%) and sensory symptoms (57%) as common presenting complaints.

Findings:

  • Cerebral angiography in 15 patients revealed significant carotid atherosclerosis in only three.
  • Electroencephalograms in seven patients showed lateralized slowing in five, but no epileptiform activity.
  • Surgical drainage of the subdural hematoma was curative in all cases, with only six patients experiencing transient postoperative symptoms.

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Implications:

  • Transient neurologic deficits warrant neuroimaging to exclude chronic subdural hematoma.
  • Early diagnosis and surgical intervention for CSH presenting with transient symptoms lead to favorable outcomes.
  • Recognizing atypical CSH presentations is vital for accurate and timely patient management.