A Case of Gait Disturbance due to Chronic Bilateral Subdural Hematoma Mimicking Cervical Spondylotic Myelopathy

Jin-Yeong Park; Woo-Chull Chung; Ji-Hun Song; Chae-Geun Kim; Se-Jin Kim; Ki-Soo Kim; Kyung-Jin Song

doi:10.4055/jkoa.2014.49.4.316

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Park, Chung, Song, Kim, Kim, Kim, and Song: A Case of Gait Disturbance due to Chronic Bilateral Subdural Hematoma Mimicking Cervical Spondylotic Myelopathy

Case Report

Journal of the Korean Orthopaedic Association 2014; 49(4): 316-320.

Published online: 27 August 2014

DOI: https://doi.org/10.4055/jkoa.2014.49.4.316

A Case of Gait Disturbance due to Chronic Bilateral Subdural Hematoma Mimicking Cervical Spondylotic Myelopathy

Jin-Yeong Park, M.D.^*, Woo-Chull Chung, M.D.^*, Ji-Hun Song, M.D.^*, Chae-Geun Kim, M.D.^*, Se-Jin Kim, M.D.^*, Ki-Soo Kim, M.D.^*, Kyung-Jin Song, M.D.

Department of Orthopaedic Surgery, Chonbuk National University Medical School, Jeonju, Korea.

^*Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea.

Correspondence to: Ji-Hun Song, M.D. Department of Orthopaedic Surgery, St. Carollo Hospital, 221 Sungwang-ro, Suncheon 540-719, Korea. TEL: +82-61-720-2135, FAX: +82-61-720-6000, osman2008@naver.com

Received 4 December 2013 Revised 28 January 2014 Accepted 21 February 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cervical spondylotic myelopathy (CSM) is a spinal cord dysfunction involving compression of the vascular and neural structures due to bony spurring or soft tissue hypertrophy in patients with degenerative cervical disorders. It presents initially as subtle gait disturbance with gradual deterioration. An elderly patient presenting with gait disturbance due to spasticity and motor weakness of both lower extremities without mental change can be easily misdiagnosed as CSM. We report on a case of gait disturbance due to chronic bilateral subdural hematoma mimicking CSM.

Keywords: cervical spondylotic myelopathy, gait disturbance, chronic bilateral subdural hematoma

Figures and Tables

Figure 1

(A, B) Cervical radiographs. (C, D) Magnetic resonance images (T1 and T2 sagittal).

Figure 2

Non-enhanced brain computed tomography scan showing slightly high- or iso-density of the bilateral chronic subdural hematoma, larger on the right.

Figure 3

Preoperative enhanced computed tomography scan showing markers on the parietal eminence for the perforating point.

Figure 4

Postoperative computed tomography scan; one month after surgery, complete drainage of the hematoma and expansion of the bilateral hemisphere.

References

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