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Accessing the Subdural Space of the Rodent Spinal Cord for Treatment Delivery
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[Subdural hematoma and depression]

J A Brunekreeft, S M Peerdeman, D Rhebergen

    Tijdschrift Voor Psychiatrie
    |May 13, 2008
    PubMed

    Insights

    Recurrent chronic subdural hematoma (csdh) can mimic psychiatric disorders, particularly in elderly patients. Early recognition of csdh recurrence is crucial for timely diagnosis and treatment.

    Area of Science:

    • Neurology
    • Geriatrics
    • Psychiatry

    Background:

    • Chronic subdural hematoma (csdh) presents diagnostic challenges due to varied symptoms, especially in the elderly.
    • Elderly patients with csdh often exhibit psychiatric symptoms and frequent falls, complicating diagnosis.

    Observation:

    • This case study focuses on an 89-year-old male with a history of csdh presenting with severe depressive symptoms and psychotic features.
    • The patient's psychiatric presentation was ultimately attributed to a recurrence of csdh.

    Findings:

    • Psychiatric symptoms, including depression with psychotic features, can be indicative of recurrent csdh in older adults.
    • A high index of suspicion for csdh recurrence is warranted in elderly patients with new-onset psychiatric issues and a history of falls.

    Implications:

    • Highlights the importance of considering neurological causes, such as csdh recurrence, in elderly patients with unexplained psychiatric symptoms.
    • Emphasizes the need for integrated diagnostic approaches in geriatric psychiatry to improve patient outcomes.
    Abstract

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