A elderly female presented with history of progressive right-sided weakness and speech difficulty. She gives a history of a fall in her bathroom two months back. The most likely clinical diagnosis is :
Correct Answer: Left chronic subdural haematoma
Description: Answer is D (Left chronic subdural haematoma) : Progressively increasing right sided focal neurological signs over a period of one month along with papilloedema suggest a diagnosis of an IntraCranial Space Occurring Lesion. (ICSOL). Given the history of head trauma in an elderly female chronic subdural haematoma is the diagnosis of choice. Chronic subdural haematoma : Chronic subdural haematoma is the common in conditions of cerebral atrophy notably old age and alcoholism. Minor trauma leads to a little insignificant bleeding in subdural space that goes unnoticed. As the blood breaks down over the next few weeks or months, fluids is drawn into subdural space because the breakdown products are hyperosmolol and membrane forms. This collection gradually enlarges and compress the brain producing focal neurological defecits mimicking tumor.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now