Document Detail

Chronic subdural haematoma.
MedLine Citation:
PMID:  482590     Owner:  NLM     Status:  MEDLINE    
A retrospective case note survey of chronic subdural haematomata was carried out in an attempt to throw some light on the difficulties encountered in clinical diagnosis. The combination of raised intracranial pressure headache, fluctuating drowsiness and mild hemiparesis, although highly suggestive of subdural haematoma, is not always encountered, and epilepsy, aphasia, hemianopia and dense hemiplegia can all occur contrary to 'text book' descriptions. Head injury or other aetiological factors are commonly absent. The presentation may mimic tumour, dementia, cerebrovascular accident or subarachnoid haemorrhage. Non-invasive investigations may yield false negative results, although in the case of radionucleide scanning and computerized axial tomography the reliability is approaching 90 per cent. The diagnosis will, however, remain an unexpected finding at angiography in a percentage of cases.
L M Luxon; M J Harrison
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Quarterly journal of medicine     Volume:  48     ISSN:  0033-5622     ISO Abbreviation:  Q. J. Med.     Publication Date:  1979 Jan 
Date Detail:
Created Date:  1979-11-21     Completed Date:  1979-11-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401027     Medline TA:  Q J Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  43-53     Citation Subset:  IM    
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MeSH Terms
Age Factors
Chronic Disease
Craniocerebral Trauma / complications
Diagnosis, Differential
Hematoma, Subdural / diagnosis*,  etiology,  physiopathology
Mental Disorders / etiology
Middle Aged
Neurologic Examination
Papilledema / etiology

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