Tuesday, March 23, 2010

The "Missing Targets Sign"

Several years ago I had an elderly patient who was an excellent competitive trap-shooter. He came to my office one day with this specific complaint: "Last weekend I was missing targets and losing to guys who have no business beating me". 

He had no other symptoms and had a normal neurological exam, but related that he had fallen a few weeks earlier and sustained a small scalp laceration which was sutured at an ER. His CT scan subsequently showed a subdural hematoma so I referred him to a neurosurgeon for treatment.

When he returned four weeks later for followup he reported,  "I'm fixed Doc, I'm beating those guys again".

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