Case Report


Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature

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1 Obstetrician, Department of Obstetrics and Gynecology, Bugando Medical Center, Mwanza, Tanzania

2 Department of Obstetrics and Gynecology, Bugando Medical Center, Mwanza, Tanzania

3 Department of Anesthesiology, Bugando Medical Center, Mwanza, Tanzania

4 Neurosurgeon, Department of Neurosurgery, Bugando Medical Center, Mwanza, Tanzania

Address correspondence to:

James Lubuulwa

Mwanza,

Tanzania

Message to Corresponding Author


Article ID: 100118Z08FM2022

doi: 10.5348/100118Z08FM2022CR

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How to cite this article

Mujuni F, Njau MC, Kenemo B, Lubuulwa J. Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature. J Case Rep Images Obstet Gynecol 2022;8(1):14–18.

ABSTRACT


Introduction: Postpartum chronic subdural hematoma (PCSDH) of non-traumatic origin is a rare but potentially life-threatening complication in the obstetric population which usually presents with severe headache.

Case Report: We describe timely diagnosis and surgical management of a 27-year-old female patient with bilateral chronic subdural hematoma of non-traumatic origin in the post-postpartum period for which surgical management was employed following irresponsive conservative management.

Conclusion: The suspicion of chronic subdural hematoma should be considered in any patient complaining of severe persistent headache following spinal anesthesia in the postpartum period and requires prompt neuroimaging for timely identification. Surgical management following irresponsive conservative management in selected patients can be achieved with satisfactory outcomes.

Keywords: Chronic subdural hematoma, Post-dural puncture headache, Spinal anesthesia, Surgical management

SUPPORTING INFORMATION


Author Contributions

Fridolin Mujuni - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mathias Callist Njau - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Benard Kenemo - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

James Lubuulwa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Fridolin Mujuni et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.