Chronic Subdural Hematoma, a Cause of Persistent Post-Dural Puncture Headache in the Postpartum Period
| Autor: | Mariatu Tamimu, Daniel Kanyata, Victoria Adhiambo Gamba, Michelle Gathecha, Lily A Nyamai, Omar Ahmed Nassir, Christopher K. Musau |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
education.field_of_study
Pediatrics medicine.medical_specialty Post-dural-puncture headache business.industry medicine.medical_treatment Incidence (epidemiology) Population Context (language use) medicine.disease Atrophy medicine medicine.symptom Headaches education business Craniotomy Postpartum period |
| Zdroj: | Open Journal of Obstetrics and Gynecology. 11:272-278 |
| ISSN: | 2160-8806 2160-8792 |
| DOI: | 10.4236/ojog.2021.113026 |
| Popis: | Background: Chronic subdural heamatoma (CSDH) is a disease that predominantly occurs in the elderly population. This is because of physiological atrophy of the brain parenchyma and frailty which leads to higher risk of falls. CSDH is unusual in the younger population but can be seen in the context of impact injuries in the younger population and mostly in males. Case Reports: We describe CSDH in 4 young postpartum mothers with no history of trauma. All had cesarean section births under spinal anaesthesia. The 4 mothers’ ages range from 24 years to 32 years. They presented with persistent post-dural puncture headaches with 2 of the mothers having focal neurological deficits. They presented between 4 weeks and 6 weeks after cesarean section. Three mothers underwent burrhole evacuation with one mother having a craniotomy. All recovered after surgery. Conclusion: Spinal anaesthesia and disruption of the CSF dynamics is the only identifiable risk factors in these young mothers. A longitudinal follow-up of mothers undergoing spinal anaesthesia should be done to document the incidence of CSDH in postpartum mothers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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