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Published on: May 31, 2016
Reversible parkinsonism due to chronic bilateral subdural hematomas
Sevasti Bostantjopoulou1, Zoe Katsarou, Michael Michael
13rd University Department of Neurology, G. Papanikolaou Hospital, Exohi, Thessaloniki 57010, Greece. bostkamb@otenet.gr
Summary
Subdural hematoma can cause reversible parkinsonism. A 65-year-old woman
Area of Science:
- Neurology
- Neurosurgery
Background:
- Subdural hematoma is an uncommon cause of secondary parkinsonism.
- Parkinsonism typically presents with motor symptoms such as rigidity and bradykinesia.
Observation:
- A 65-year-old woman developed symmetrical parkinsonism 45 days after a minor head injury.
- Neurological examination revealed mild left-sided pyramidal signs.
- Magnetic Resonance Imaging (MRI) confirmed bilateral chronic subdural hematomas.
Findings:
- The patient's parkinsonism resolved completely within one month post-surgery.
- Neurosurgical evacuation of the subdural hematomas was successful.
Implications:
- This case highlights subdural hematoma as a treatable cause of secondary parkinsonism.
- Early diagnosis and surgical intervention can lead to complete recovery of parkinsonian symptoms.
- Consider subdural hematoma in the differential diagnosis of new-onset parkinsonism, especially after head trauma.
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