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Case Report
Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature
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
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Article ID: 100118Z08FM2022
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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
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Author Contributions
Fridolin Mujuni - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mathias Callist Njau - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Benard Kenemo - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
James Lubuulwa - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors 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.
