J Korean Orthop Assoc.  2014 Aug;49(4):316-320. 10.4055/jkoa.2014.49.4.316.

A Case of Gait Disturbance due to Chronic Bilateral Subdural Hematoma Mimicking Cervical Spondylotic Myelopathy

• Park JY
• Chung WC
• Song JH
• Kim CG
• Kim SJ
• Kim KS
• Song KJ

• KMID: 2185194
• DOI: http://doi.org/10.4055/jkoa.2014.49.4.316

Abstract

Cervical spondylotic myelopathy (CSM) is a spinal cord dysfunction involving compression of the vascular and neural structures due to bony spurring or soft tissue hypertrophy in patients with degenerative cervical disorders. It presents initially as subtle gait disturbance with gradual deterioration. An elderly patient presenting with gait disturbance due to spasticity and motor weakness of both lower extremities without mental change can be easily misdiagnosed as CSM. We report on a case of gait disturbance due to chronic bilateral subdural hematoma mimicking CSM.

Keyword

cervical spondylotic myelopathy; gait disturbance; chronic bilateral subdural hematoma

MeSH Terms

Aged
Gait*
Hematoma, Subdural*
Humans
Hypertrophy
Lower Extremity
Muscle Spasticity
Spinal Cord
Spinal Cord Diseases*

Figure

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  Figure 1 (A, B) Cervical radiographs. (C, D) Magnetic resonance images (T1 and T2 sagittal).

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  Figure 2 Non-enhanced brain computed tomography scan showing slightly high- or iso-density of the bilateral chronic subdural hematoma, larger on the right.

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  Figure 3 Preoperative enhanced computed tomography scan showing markers on the parietal eminence for the perforating point.

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  Figure 4 Postoperative computed tomography scan; one month after surgery, complete drainage of the hematoma and expansion of the bilateral hemisphere.

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