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A Case of Gait Disturbance due to Chronic Bilateral Subdural Hematoma Mimicking Cervical Spondylotic Myelopathy
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Abstract
°æÃß Ã´¼öº´ÁõÀº ÅðÇ༺ °æÃß Áúȯ¿¡¼ °ñ±ØÀ̳ª ¿¬ºÎÁ¶Á÷ ºñ´ë¿¡ ÀÇÇØ Ç÷°ü ¹× ½Å°æÀÌ ´·Á ¹ß»ýÇϴ ô¼ö ±â´É ÀÌ»óÀ̸ç Ãʱ⿡´Â ¾Ö¸ÅÇÑ º¸Çà Àå¾Ö°¡ ¹ß»ýÇϸç Á¡Â÷ ¾ÇȵȴÙ. ÀÇ½Ä º¯È ¾øÀÌ ¾çÃø ÇÏÁöÀÇ °Á÷°ú ±Ù·Â ¾àÈ·Î ÀÎÇÑ º¸Çà Àå¾Ö°¡ ÀÖ´Â °í·É ȯÀÚ´Â °æÃß Ã´¼öº´ÁõÀ¸·Î À߸ø Áø´ÜµÇ±â ½±´Ù. ¸¸¼º ¾çÃø¼º ¸¸¼º ³ú°æ¸·ÇÏ ÃâÇ÷·Î ÀÎÇØ ¹ß»ýÇÑ º¸Çà Àå¾Ö°¡ °æÃß Ã´¼öº´Áõó·³ º¸¿´´ø Áõ·Ê¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
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.
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°æÃß Ã´¼öº´Áõ, º¸Çà Àå¾Ö, ¸¸¼º ¾çÃø¼º ³ú°æ¸·ÇÏ Ç÷Á¾
cervical spondylotic myelopathy, gait disturbance, chronic bilateral subdural hematoma
KMID :
0361620140490040316
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