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Subdural haematoma presenting with transient neurological deficits
The Medical Journal of Australia
|May 4, 1992
Summary
Transient neurological deficits may indicate subdural hematoma, not just transient cerebral ischemia. Prompt diagnosis and surgical intervention can resolve symptoms, highlighting the importance of considering subdural hematoma in differential diagnoses.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Transient neurological deficits (TNDs) are often presumed to be caused by transient ischemic attacks (TIAs).
- Subdural hematomas (SDHs) can present with neurological deficits that mimic ischemic events.
Observation:
- Two elderly patients presented with intermittent and progressive neurological deficits.
- Computed tomography (CT) scans revealed subdural hematomas in both individuals.
Findings:
- Surgical evacuation of the subdural hematomas resulted in complete resolution of neurological symptoms and signs.
- Subdural hematomas are a treatable cause of neurological deficits.
Implications:
- SDH should be considered in the differential diagnosis of unexplained TNDs.
- CT or MRI are crucial for diagnosing SDH.
- Anticoagulant or antiplatelet therapy should be withheld until SDH is ruled out to prevent exacerbation.