Isodense subdural hematoma presenting with paraparesis

Abstract

Computerized tomography (CT) has replaced cerebral angiography in many institutions as the diagnostic test of choice in cranial trauma. However, isodense subdural hematomas can be a source of false-negative results on CT scans, resulting in omissions in therapy. The authors report a patient with bilateral isodense subdural hematomas who presented with paraparesis but was otherwise alert and fully oriented. The CT findings caused an initial diagnostic dilemma before being resolved.

Acute on chronic bilateral subdural hematoma presenting with acute complete flaccid paraplegia and urinary retention mimicking an acute spinal cord injury: a case report

“…One report describes a 69-year-old male with intermittent, proximal, painless paraparesis and normal sensibility who had bitemporally located chronic subdural haematoma. His neurologic deficits regressed totally within 12 h postoperatively [ 31 ] Another 58-year-old male patient who has presented with weakness of lower limbs and retention of urine and constipation and found to have a spontaneous chronic subdural haematoma [ 32 ] Shields et al report a patient with bilateral isodense subdural hematomas who presented with paraparesis [ 33 ]. In one case report 72 years old man presented with progressive spastic paraplegia as an unusual presentation of bilateral chronic subdural hematoma [ 34 ].…”

Chronic subdural hematoma presenting as diplegia-A rare presentation

“…We reviewed the literature for presentation of chronic subdural hematoma with presentation as quadriplegia and found very few articles[234] [Table 1]. …”