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Unusual presentation of more common disease/injury
CASE REPORT
Chronic subdural haematoma presenting as freezing of gait
  1. Kazuyuki Noda1,
  2. Nobutaka Hattori2,
  3. Yasuyuki Okuma1,
  4. Takuji Yamamoto3
  1. 1Department of Neurology, Juntendo Shizuoka Hospital, Izunokuni, Shizuoka, Japan
  2. 2Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan
  3. 3Department of Neurosurgery, Juntendo Shizuoka Hospital, Izunokuni, Japan
  1. Correspondence to Dr Kazuyuki Noda, k-noda{at}juntendo.ac.jp

Summary

In this report, we describe a case of freezing of gait (FOG) in a patient with chronic subdural haematoma (CSDH). An 81-year-old patient presented with progressive FOG about 6 weeks after a minor head trauma. MRI revealed CSDH in the left hemisphere, resulting in a marked compression of the hemisphere. His FOG disappeared after neurosurgical evacuation of the haematoma. It is suggested that the subdural haematoma in his left frontal cortices caused FOG. CSDH should be considered as a differential diagnosis when FOG develops after a head trauma in elderly patients, and prompt evaluations including neuroimaging and timely neurosurgical intervention are required.

  • movement disorders (other than Parkinson’s)
  • neurological injury
  • trauma CNS/PNS

https://doi.org/10.1136/bcr-2017-221469

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    Footnotes

    • Contributors KN and TY cared for the patient in the inpatient and in the outpatient settings. NH and YO reviewed the manuscript and provided suggestions. All the authors contributed to the writing of the manuscript, and read and approved the final version of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.