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This case report examines the diagnostic and therapeutic challenges in identifying chronic subdural hematoma in the context of an arachnoid cyst.

Diagnostic and Therapeutic Pitfalls Encountered in a Young Adult Patient with a Symptomatic Chronic Subdural Hematoma Mimicking a Subacute Epidural Hematoma in the Presence of a Galassi Grade III Arachnoid Cyst: Case Report

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This case report examines the diagnostic and therapeutic challenges in identifying chronic subdural hematoma in the context of an arachnoid cyst.
Case presentation of a young adult male with occipital headache and imaging findings including CT scans for diagnosis.
Burr-hole evacuation performed for the chronic subdural hematoma after follow-up CT and cognitive assessment indicated complications.
MRA/MRV conducted to exclude vascular pathologies.
Patient exhibited symptoms of mild cognitive impairment post-diagnosis, confirmed by the Mini-Mental State Examination (MMSE).
Burr-hole evacuation resulted in complete symptom resolution.
Follow-up CT scan one month post-procedure confirmed favorable outcomes with normal cognitive function.

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Case report shows diagnostic confusion between chronic subdural hematoma and subacute epidural hematoma, highlighting treatment implications.

Theologou et al. (2026) studied this question.

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Case report shows diagnostic confusion between chronic subdural hematoma and subacute epidural hematoma, highlighting treatment implications.