Chronic subdural hematoma (CSH) is a common pathology in elderly patients. Its etiology is usually due to rupture of bridging veins, which kept bleeding into the subdural space will generate a chronic inflammatory process which results in a collection that will grow in volume producing symptoms of intracranial hypertension or neurological focus. The third nerve palsy presenting as chronic subdural hematoma is rare, we present the case of a patient with this disease treated in our hospital.