Mooguzilkree Pneumonia AND sponsor name. Secondary deterioration of consciousness led to the discovery of a bilateral chronic subdural hematoma. In Tunisia, with the remarkable progress in health, life expectancy has significantly increased these last decades. Top of the page — Article Outline. After an inconclusive physical examination, the suspected diagnosis was generalized convulsive seizure due to alcoholic withdrawal. Journal page Archives Contents list.
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Cela demeure encore un sujet de discussion. The full text of this article is available in PDF format. Summary Background In Tunisia, with the remarkable progress in health, life expectancy has significantly increased these last decades. Indeed, in , 9. In the elderly, chronic subdural hematoma HSDC may be caused by even minimal trauma or occur spontaneously. The manifestations of this type of accumulation depend on the degree of cerebral compression and the localisation of the mass.
They could be delirium, dementia, convulsions or psychiatric disorders frontal location. Case report When the psychiatric presentation predominates, the decision to hospitalise an elderly person in a psychiatric unit is difficult and often avoided. We report the case of an 81 year-old man without history of medical condition or personal or family psychiatric history, who, in , began to exhibit behavioural disorders, delusions of persecution and jealousy, visual hallucinations and sexual disinhibition.
This clinical picture that set in so insidiously and in moderate intensity was long tolerated by the family circle. The patient was admitted to a psychiatric hospital in January with the worsening of the symptoms. The clinical examination and investigations confirmed the diagnosis of chronic frontoparietal subdural hematoma without compression. The decision in neurosurgery was to refrain from surgical drainage and administer high doses of steroids under supervision clinical and biological.
The evolution was good with progressive resorption of the hematoma to complete recovery. Conclusion It appears from this case and review of the literature that various psychiatric manifestations may reveal an HSDC and that, in the elderly, neuroimaging should be systematic, even for minor symptoms.
The total resorption led to the disappearance of psychiatric symptoms in most patients, but this remains a topic of discussion for patients who retain residual symptoms, even after resorption of the mass.
Caution is required when faced with an elderly person suffering, and we should strive to explore all possible causes before jumping to the conclusion of the fatality of growing old.
Hématome sous-dural aigu
Hématome sous-dural chez l'enfant
Les traumatismes crâniens
Hématome sous-dural chronique