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Chronic subdural haematoma: a case series of uncommon presentations of a common disease. | LitMetric

AI Article Synopsis

  • * In a reviewed patient cohort, initial examinations often failed to diagnose the condition, highlighting the need for brain imaging to confirm cases.
  • * The study showcases diverse presentations, such as ptosis, paraplegia, and foot drop, emphasizing the importance of recognizing these varied symptoms and the necessity for prompt imaging in neurological assessments.

Article Abstract

Chronic subdural haematoma is a common neurological condition especially among the elderly population. Its presentation can be unspecific but often attributed to pressure, cortical irritation, and/or vascular compromise. In the patients' cohort presented below, we have a series of cases where clinical history and examination did not result in an initial clinical diagnosis or suspicion of chronic subdural haematoma, with the diagnosis made only after brain imaging. We reviewed the literature regarding the aetiopathogenesis and clinical features of our patient cohort, which included a young woman with isolated right ptosis and pupillary dilatation, an elderly man with paraplegia, another elderly man with isolated right foot drop, and a young military man with no history of trauma. Our series re-emphasizes the sometimes non-specific and varied clinical presentation of chronic subdural haematoma. We reiterate the need for early brain imaging in patients who present with neurological disorder.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10702276PMC
http://dx.doi.org/10.1093/jscr/rjad649DOI Listing

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