Bilateral Chronic Subdural Hematoma General University Hospital of Alicante Cases

89-year-old man admitted due to chronic subdural hematoma recurrences. Refers to increased weakness in the lower and upper left limbs; conditioning Gait disorder. History of bilateral chronic subdural hematoma that has required hospital admission and drainage on 2 occasions.

75-year-old patient, with deterioration in the level of consciousness.

Ischemic infarct protuberancial right of indeterminate origin in 2008. F

Ischemic heart disease. Coronary stent.

Clinical progressive deterioration. Previously despite sequelae of previous stroke (left paresis), he walked and went out with crutches.

Glasgow 4. Mitotic, reactive pupils.

Markwalder grading score 4: Comatose with absent motor responses to painful stimuli, decerebrate or decorticate posturing

CT scan

Bilateral hematomas in the convexity of 21 mm right and 27 mm left in the axial plane suggestive of subdural hematoma of predominantly frontoparietal distribution. There is ventricular compression without deviation of the midline.