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”

Subdural Hematoma (SDH) Leading to Rapid Deterioration in a Patient with Alzheimer’s Disease


70-year old man was brought with a history of progressive cognitive impairment of one year duration. However, there was a rapid deterioration of symptoms for the past few weeks. CT brain showed right sided subacute to chronic subdural hematoma (SDH). In addition, CT brain also showed cerebral atrophy on the left side. PET scan wasContinue reading “Subdural Hematoma (SDH) Leading to Rapid Deterioration in a Patient with Alzheimer’s Disease”