Chronic subdural hematoma mimicking transient ischemic attacks.

Area of Science:

• Neurology
• Neurosurgery

Background:

• Transient ischemic attacks (TIAs) are often diagnosed based on clinical presentation.
• Chronic subdural hematomas (CSDHs) can present with diverse neurological symptoms.

Observation:

• A case of CSDH presenting with recurrent neurological dysfunction mimicking TIAs is reported.
• The patient experienced episodes suggestive of TIA.

Findings:

• CSDH can lead to TIA-like symptoms through mechanisms such as focal ischemia, epileptic discharges, cortical depression, or cerebral edema.
• Differential diagnosis between CSDH and TIA is crucial.

Implications:

• Clinicians should consider CSDH in the differential diagnosis of recurrent TIA-like episodes.
• Computer-assisted tomography (CT) of the head is a valuable tool for distinguishing CSDH from TIAs.