Which neurologic exam findings suggest chronic subdural hematoma (SDH)?

Updated: Jul 26, 2018
  • Author: Richard J Meagher, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Neurologic examination for chronic subdural hematoma may demonstrate any of the following [29] :

  • Mental status changes

  • Papilledema

  • Hyperreflexia or reflex asymmetry

  • Hemianopsia

  • Hemiparesis

  • Third or sixth cranial nerve dysfunction

Such findings may also be associated with other entities. In patients aged 60 years or older, hemiparesis and reflex asymmetry are common presenting signs. In patients younger than 60 years, headache is a common presenting symptom.

Chronic subdural hematomas have been reported to be bilateral in 8.7-32% of cases.

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