PDF(Pubmed)
Abstract：
Chronic subdural hematoma (CSDH) is a great mimicker. It should be considered in anyone presenting with chronic headaches that show postural variation. Parkinsonism following CSDH, while known, is only rarely reported in the literature. Hyponatremia, rapid correction of hyponatremia, medications, and mechanical pressure are thought to be risk factors. Here, we report a case of a 61-year-old male diagnosed with bilateral CSDH managed by craniotomy and clot evacuation who developed parkinsonism. We share several learnings (clinical pearls) that emerged from the close collaboration and co-learning curve between a family physician and physiotherapist involved in home-based rehabilitation. In conclusion, while managing the postoperative course of patients with CSDH, clinicians should maintain a high index of suspicion for parkinsonism. Early recognition and appropriate management with syndopa with supportive physiotherapy results in significant improvement of function and quality of life. Notably, parkinsonism following SDH is transient and nonprogressive and may not require lifelong therapy.
摘要：
慢性硬膜下血肿（CSDH）是一个伟大的模仿者。任何表现出姿势变化的慢性头痛的人都应该考虑。CSDH后的帕金森病,虽然已知，在文献中很少报道。低钠血症,快速纠正低钠血症，药物,和机械压力被认为是危险因素。这里,我们报告了一例61岁男性患者,诊断为双侧CSDH,通过开颅手术和血块清除术治疗,并发展为帕金森病.我们分享了参与家庭康复的家庭医生和物理治疗师之间的密切合作和共同学习曲线所产生的一些经验（临床珍珠）。总之,在管理CSDH患者的术后病程时，临床医生应保持对帕金森病的高度怀疑.早期识别和适当管理syndopa并进行支持性物理治疗可显著改善功能和生活质量。值得注意的是,SDH后帕金森病是短暂的和非进行性的,可能不需要终身治疗.
