Document Detail

Chronic subdural hematoma presenting with symptoms of transient ischemic attack (TIA): a case report.
MedLine Citation:
PMID:  11558288     Owner:  NLM     Status:  MEDLINE    
Rarely, chronic subdural hematomas (CSDH) will present with symptoms mimicking transient ischemic attacks (TIAs). We report the case of an elderly man who presented with intermittent numbness and weakness of his left upper extremity typical of symptoms arising from a right sensorimotor cortex TIA. He was treated with empiric antiplatelet therapy for several days before a head CT was performed. The head CT and a subsequent MRI showed a CSDH with an acute component and cortical compression. Upon evacuation of the hematoma, his symptoms resolved. In cases of suspected TIA, a head CT should always be performed before beginning antiplatelet therapy. If there is an underlying hematoma, such therapy is dangerous, as it can potentiate more bleeding and leave the true pathology unaddressed.
C C Wilkinson; J Multani; J E Bailes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  97     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    2001 Jul-Aug
Date Detail:
Created Date:  2001-09-17     Completed Date:  2001-10-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-6     Citation Subset:  IM    
Dept. of Neurosurgery, West Virginia University School of Medicine, Morgantown, USA.
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MeSH Terms
Aged, 80 and over
Diagnosis, Differential
Follow-Up Studies
Hematoma, Subdural, Chronic / diagnosis*,  surgery*
Ischemic Attack, Transient / diagnosis*
Magnetic Resonance Imaging / methods
Neurologic Examination
Neurosurgical Procedures / methods
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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