Non-traumatic subdural hematoma in a third-trimester gravid patient: A case report
| Autor: | Gisèle Chewa, Ulrick Sidney Kanmounye, Patricia Menanga Ntsama, Anne Esther Njom Nlend, Alain Jibia, Francklin Tétinou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Traumatic brain injury Non-traumatic lcsh:Surgery macromolecular substances Malaria in pregnancy Third trimester lcsh:RC346-429 030218 nuclear medicine & medical imaging 03 medical and health sciences Subdural hematoma 0302 clinical medicine Hematoma Pregnancy Non traumatic Case report medicine lcsh:Neurology. Diseases of the nervous system Burr hole Fetus business.industry lcsh:RD1-811 medicine.disease Surgery Neurology (clinical) Ultrasonography business 030217 neurology & neurosurgery |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 23, Iss, Pp 100967-(2021) |
| ISSN: | 2214-7519 |
| Popis: | Background Subdural hematoma (SDH) is often due to the rupture of bridging veins following a traumatic brain injury. Non-traumatic SDH is less common and often due to arterial rupture following the rupture of cerebral aneurysms and arteriovenous fistulae, coagulation disorders, or brain tumors. Non-traumatic SDH is rarer in pregnancy. In this article, the authors report on a case of non-traumatic SDH in pregnancy. Case description. A 41-year-old G4P4 black female in her 36th week of pregnancy and no relevant past medical or surgical history presented a moderate headache that had begun six days before the consultation. The headache was associated with a low-grade fever. Routine lab tests were normal except for a positive blood smear (750 Plasmodium falciparum/mm3). The patient received intravenous artesunate for malaria in pregnancy, but on the second day of her treatment, she developed altered mental status and projectile vomiting. A non-contrast head CT scan revealed a left acute-on-chronic subdural hematoma with subfalcine engagement, and the fetal well-being was satisfactory on ultrasonography. An emergency cesarean section and a left burr hole SDH evacuation were performed. The postoperative suites were unremarkable - the mother recovered completely, and the newborn was healthy at discharge. Conclusion Non-traumatic SDH is a rare condition that should be diagnosed early and managed by a specialized and multidisciplinary team. |
| Databáze: | OpenAIRE |
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