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November 1982

Chronic Subdural Hematoma With Attacks Resembling Transient Ischemia

Author Affiliations

155 NW 167th St Suite 302 North Miami Beach, FL 33169

Arch Neurol. 1982;39(11):740. doi:10.1001/archneur.1982.00510230066030

To the Editor.—  This case is being reported because of its unusual clinical and roentgenographic features.

Report of a Case.—  A 40-year-old, righthanded, previously healthy man experienced two episodes of speech arrest, each lasting five minutes, on the day before admission. There was no associated headache, confusion, numbness, weakness, lightheadedness, nausea, or vomiting. His wife observed no change in facial features. The patient remained totally aware and alert during the episodes, which cleared completely. There was no antecedent history of trauma.Computed tomogram showing lenticular, lowdensity, nonenhancing mass in left temporoparietal region.Results of neurologic examination were normal. No cervical bruits were heard. His BP was 120/80 mm Hg and pulse rate was 75 beats per minute and regular. The ECG was normal. Results of blood chemistry studies and laboratory data were normal. A roentgenogram of the skull showed some thinning of the inner table in the left parietal region

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