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Subacute subdural hematoma presenting as reversible ischemic attacks
L G Lazzarino1, A Nicolai, F Valassi
1Divisione Neurologica, Ospedale Civile di Gorizia.
Italian Journal of Neurological Sciences
|February 1, 1989
Summary
An 83-year-old woman experienced reversible hemiparesis and aphasia due to a subdural hematoma. This case highlights the importance of CT scans in diagnosing cerebrovascular diseases, differentiating them from ischemic events.
Area of Science:
- Neurology
- Neuroradiology
- Neuroscience
Background:
- Subdural hematomas can present with neurological deficits mimicking ischemic stroke.
- Differentiating between subdural hematomas and ischemic events is crucial for appropriate patient management.
Observation:
- A case of an 83-year-old woman with a left frontal subacute subdural hematoma is presented.
- The patient exhibited reversible right-sided hemiparesis and aphasia.
Findings:
- Computed tomography (CT) documented the subacute subdural hematoma.
- The neurological deficits were attributed to the subdural hematoma and showed reversibility.
Implications:
- Clinical presentation alone may not reliably distinguish subdural hematomas from ischemic cerebrovascular events.
- CT scanning is an essential diagnostic tool for patients with suspected cerebrovascular diseases before initiating treatment.