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Arch Hellen Med, 29(5), September-October 2012, 623-626


Bilateral chronic subdural hematoma
An unusual presentation with progressive spastic paraplegia

A. Kyriacou, C. Lim, A. Ahmed
Department of Medicine, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, FY3 8NR, United Kingdom

This is a case of progressive lower limb weakness in a 72-year-old man secondary to chronic bilateral subdural hematoma. This patient presented with a 3 week history of progressive difficulty in walking, with upper motor neuron signs but no sensory deficit. He had no significant risk factors for chronic subdural hematoma. Literature search revealed only one similar documented case of painless bilateral paraplegia secondary to chronic subdural hematoma, which, in contrast to this case, had fluctuating symptoms and signs.

Key words: Paraplegia, Subdural hematoma, Weakness.

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