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November 2, 1979

Subdural Hematoma

Author Affiliations

Veterans Administration Hospital Little Rock, Ark

JAMA. 1979;242(18):1969. doi:10.1001/jama.1979.03300180013014

To the Editor.—  Subdural hematoma is a fairly common and at times lethal disorder with protean manifestations. Since effective treatment—if given early—can avert unwarranted complications, complete familiarity with the clinical symptoms of this disorder is imperative. The following is an account of an unusual clinical manifestation in a patient with bilateral subdural hematomas.

Report of a Case.—  A 72-year-old man had a three-week history of syncopal episodes associated with postsyncopal transient weakness and disorientation, as well as occipital headache severe enough to disrupt sleep. He also had noted transient left hemiparesis and intermittent partial loss of equilibrium. There was no history of hypertension or other major health problems. Physical findings were generally unremarkable. Neurological examination disclosed cerebellar signs of dysdiadochokinesia and abnormal findings on finger-nose-finger testing bilaterally as well as on heel-shin testing (more pronounced on the left). No permanent defects in equilibrium, although transient episodes of dysequilibrium (without change