Bilateral Chronic Subdural Hematoma Clinical Features
Bilateral Chronic Subdural Hematoma showed different clinical characteristics from unilateral CSDH. Bilateral CSDH is prone to occurrence in the patient of old and diabetics. The patients of bilateral CSDH seem to reveal worse mental status and neurologic sign than unilateral CSDH in both baseline and postoperative state 1)
The presenting symptoms are those of raised intracranial pressure and mass effect.
The frequency of focal neurological deficits was found to be lesser in patients with bilateral CSDH, and it may confound the diagnosis and delay treatment 2).
1)
Lee J, Park JH. Clinical Characteristics of Bilateral versus Unilateral Chronic Subdural Hematoma. Korean J Neurotrauma. 2014 Oct;10(2):49-54. doi: 10.13004/kjnt.2014.10.2.49. Epub 2014 Oct 31. PMID: 27169033; PMCID: PMC4852599.
2)
Huang YH, Yang KY, Lee TC, Liao CC. Bilateral chronic subdural hematoma: what is the clinical significance? Int J Surg. 2013;11(7):544-8. doi: 10.1016/j.ijsu.2013.05.007. Epub 2013 May 24. PubMed PMID: 23707986.