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Ataxia associated with an interhemispheric subdural hematoma: a case report
Johanna C Schilder1, Martijn Weisfelt
1Department of Neurology, Kennemer Gasthuis Boerhaavelaan 22, 2035 RC, Haarlem The Netherlands. jschilde@kg.nl
Cases Journal
|November 18, 2009
Summary
Interhemispheric subdural hematomas are rare brain bleeds. Anticoagulant use increases risk, even without head trauma, presenting with symptoms like headache and leg ataxia.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Interhemispheric subdural hematomas (ISDH) are infrequent intracranial hemorrhages.
- Anticoagulant therapy is a known risk factor for various bleeding complications.
Observation:
- A 77-year-old female on anticoagulants presented with acute onset headache and bilateral leg ataxia.
- Brain imaging confirmed an interhemispheric subdural hematoma.
Findings:
- Conservative management was successful for the ISDH in this patient.
- The clinical presentation mimicked other neurological conditions, highlighting diagnostic challenges.
Implications:
- ISDH should be considered in the differential diagnosis of patients on anticoagulants presenting with neurological deficits, irrespective of trauma history.
- Early recognition and appropriate management are crucial for favorable outcomes in ISDH.
- This case underscores the importance of considering anticoagulant status in patients with spontaneous neurological changes.
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