An Unusual Presentation of Chronic Subdural Hematoma with Isolated Footdrop.
Patients with chronic subdural hematoma 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 only detected by looking for pronator drift. The precise pattern of signs and symptoms in a given patient with chronic subdural may vary from case to case depending upon the specific anatomy of compression, but isolated lower extremity weakness is rare. We present an unusual case of a 79-year-old female with a chronic subdural hematoma overlying the cerebral convexity presenting only with isolated footdrop that resolved upon surgical drainage.
School of Medicine