Subdural Hematoma Developing after VP Shunt Surgery for Normal Pressure Hydrocephalus

Normal pressure hydrocephalus (NPH) consists of Hakim-Adams triad: Gait disturbances, memory decline and urinary incontinence. Ventriculo-peritoneal shunt (VP shunt) is routinely recommended to treat this condition. Acute or subacute subdural hematoma (SDH) can occur in 2-17% of patients following VP shunt. Increased susceptibility to SDH can be attributed to the shunt decreasing intracranial pressure byContinue reading “Subdural Hematoma Developing after VP Shunt Surgery for Normal Pressure Hydrocephalus”

Acute Subdural Hematoma mimicking a stroke

87-year old gentleman was brought to OPD with complaints of right-sided weakness and inability to speak of 48-hours duration. He was apparently well prior to that. He had earlier been treated for cardiac disease, however, details were not known. There was no history of head trauma. On examination, he was conscious, however, had global aphasia.Continue reading “Acute Subdural Hematoma mimicking a stroke”