Format

Send to

Choose Destination
World Neurosurg. 2019 Jan;121:166-168. doi: 10.1016/j.wneu.2018.10.042. Epub 2018 Oct 13.

An Unusual Presentation of Chronic Subdural Hematoma with Isolated Footdrop.

Author information

1
Division of Neurosurgery, Maimonides Medical Center, Brooklyn, New York, USA.
2
Division of Neurosurgery, Maimonides Medical Center, Brooklyn, New York, USA; Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA. Electronic address: jkhmd@yahoo.com.

Abstract

BACKGROUND:

Patients with chronic subdural hematoma (CSDH) typically present with symptoms of increased intracranial pressure, including headache, nausea/vomiting, and somnolence, or with contralateral weakness. Compression of the convexity cerebral cortex usually causes motor deficit that is more readily appreciated in the upper extremity rather than in the leg, and very subtle deficit may be detected only by looking for pronator drift. The precise pattern of signs and symptoms in CSDH may vary from case to case depending on the specific anatomy of compression, but isolated lower extremity weakness is rare.

CASE DESCRIPTION:

A 79-year-old woman presented with isolated footdrop. CSDH overlying the cerebral convexity was detected on computed tomography. The foot weakness resolved on surgical drainage.

CONCLUSIONS:

CSDH overlying the cerebral convexity may manifest with isolated foot weakness. Awareness of the potential for this unusual presentation of CSDH may be useful to the clinician assessing a patient with otherwise unexplained foot weakness.

KEYWORDS:

Craniotomy; Footdrop; Neurologic examination; Subdural hematoma; Surgery

PMID:
30326314
DOI:
10.1016/j.wneu.2018.10.042
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center