A rare case of chronic subdural haematoma presenting with paraparesis: A case report and review of literature

Gururaj Sangondimath; H S Chhabra; Raghavendra Venkatesh; Ankur Nanda; Vikas Tandon

doi:10.1016/j.jcot.2015.05.005

A rare case of chronic subdural haematoma presenting with paraparesis: A case report and review of literature

J Clin Orthop Trauma. 2015 Dec;6(4):265-8. doi: 10.1016/j.jcot.2015.05.005. Epub 2015 Jul 10.

Authors

Gururaj Sangondimath¹, H S Chhabra¹, Raghavendra Venkatesh¹, Ankur Nanda¹, Vikas Tandon¹

Affiliation

¹ Indian Spinal Injuries Centre, India.

Abstract

Objectives: To report a rare case of spontaneous chronic subdural haematoma presenting with paraparesis and to highlight that subdural haematoma as one of the differential diagnoses for unexplained paraparesis.

Summary of background data: Chronic subdural haematoma is common in elderly people usually presenting with altered mental status, monoplegia, headache and seizure. But spontaneous chronic subdural haematoma resulting in paraparesis is not reported in the literature.

Methods: A 58-year-old male patient presented with weakness of bilateral lower limbs and retention of urine and constipation. Patient was thoroughly evaluated and analysed.

Conclusion: Spontaneous chronic subdural haematoma should be considered as one of the deferential diagnosis for paraparesis in elderly.

Keywords: CSDH, chronic subdural haematoma; Chronic; Elderly; ICBF, intracranial blood flow; MRI, magnetic resonance imaging; Paraparesis; Subdural haematoma.