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Bilateral subdural hematoma presenting as subacute parkinsonism
Clinical Neurology and Neurosurgery
|January 1, 1987
Summary
Subacute parkinsonism in an elderly man was successfully treated by surgically removing a bilateral frontal subdural hematoma. This case highlights the importance of CT scans for diagnosing unknown parkinsonism causes.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Subacute parkinsonism can present with unclear etiology.
- Parkinsonian syndromes require accurate diagnosis for effective treatment.
Observation:
- An 83-year-old male presented with subacute parkinsonism.
- Head CT revealed a bilateral frontal subdural hematoma.
Findings:
- Surgical evacuation of the subdural hematoma led to near-complete resolution of the hypokinetic syndrome.
- The findings suggest a direct link between the hematoma and parkinsonian symptoms.
Implications:
- CT scanning is crucial for identifying subdural hematomas as a treatable cause of parkinsonism.
- Prompt surgical intervention can reverse parkinsonian symptoms caused by mass effect.
- This case broadens the differential diagnosis for subacute parkinsonism.