Atraumatic Subdural Hematoma in a Third-Trimester Gravid Patient

Traficante, David; Marin, Alina-Gabriela; Catapano, Alberico L.

doi:10.1155/2016/8252746

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…[10] HELLP syndrome happens ASDH: Acute subdural hematoma, GCS: Glascow Coma Scale, HELLP: Hemolysis, elevated liver enzymes, and low-platelet, NM: Not mentioned in pregnant and postpartum individuals characterized by hemolysis with microangiopathic features, elevated liver enzymes, and a low platelet count. [7,17,19] In the acute setting, ASDH management includes either urgent surgical evacuation or conservative management. ASDH more than 10 mm thickness or midline shift more than 5 mm on computed tomography imaging, neurological deterioration, and/or increased intracranial pressure are indications for surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous acute subdural hematoma as a complication of preeclampsia. A case report and literature review

Azab

Iqbal

2023

Surgical Neurology International

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Background: Acute subdural hematoma (ASDH) is a common form of intracranial bleeding that may be fatal. Trauma is a major cause, while a subset of cases may occur spontaneously. The authors of this article present a case of spontaneous ASDH in the context of preeclampsia and review similar cases in the literature to identify the prognosis. Case Description: A healthy 27-year-old woman presented in her first pregnancy which was complicated with pregnancy-induced hypertension and was sent to a provincial local maternity hospital at 37 weeks of gestation. On day 4 postpartum, the patient complained of severe headache, vomiting and blurred vision. Fundus examination showed papilledema and magnetic resonance imaging showed right acute frontoparietal subdural hematoma. The hematoma was surgically evacuated with decompressive craniotomy. Postoperatively, the patient’s symptoms improved. Conclusion: Spontaneous ASDH is a rare event in the context of preeclampsia; however, it should be considered as one of its possible complications. Research should be directed to emphasize on the possibility of spontaneous ASDH as a cause of neurological deterioration in those cases. A proper diagnosis and early intervention for these cases are crucial for both the mother and the fetus.

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Section: Discussionmentioning

confidence: 99%

“…[ 10 ] HELLP syndrome happens in pregnant and postpartum individuals characterized by hemolysis with microangiopathic features, elevated liver enzymes, and a low platelet count. [ 7 , 17 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

Spontaneous acute subdural hematoma as a complication of preeclampsia. A case report and literature review

Azab

Iqbal

2023

Surgical Neurology International

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“…Em raros casos ocorrem este tipo de hemorragia de forma espontânea, sem evidência de trauma 5,6 . Existem descrições na literatura como causa de hematoma subdural agudo sem trauma prévio, como por exemplo: a rotura de aneurisma, o hematoma intracerebral que invade o parênquima cerebral e ultrapassa a membrana aracnóide, e o embolismo séptico e asséptico ocasionando o sangramento 5 .…”

Section: Discussionunclassified

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

Alberto¹,

Navarro²

2017

BJFS

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Resumo.A perícia médico legal tem a função de estabelecer a forma e a causa da morte.Baseado nesses dados, a justiça atua condenando os culpados pelos crimes. O objetivo deste trabalho é descrever uma patologia frequentemente encontrada no instituto médico legal, o hematoma subdural agudo, e com isso debater suas causas raras, não traumáticas.Realizou-se uma pesquisa na literatura nacional e internacional utilizando o banco de dados MEDLINE, sendo selecionados 11 artigos sobre o assunto, publicados nos últimos 16 anos.O exame pericial na Medicina Legal deve ser muito criterioso para evitar conclusões indevidas pela justiça.Palavras-chave: Necropsia forense; Hematoma subdural; Hematoma subdural espontâneo; Hematoma subdural agudo não traumático; Aneurisma cerebral. Abstract.Legal medical expertise has the function to establish the form and the cause of death. Based on these data, justice acts condemning the perpetrators of the crimes. The objective of this study is describe a condition often found in the Legal Medical Institute, the acute subdural hematoma, thus discuss their rare causes, not traumatic. The methodology carried out a search in national and international literature using the database MEDLINE, being selected 11 articles on the subject published in the last 16 years. The expert examination in Legal Medicine must be very careful to avoid undue conclusions by justice.

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“…Previously described causes of spontaneous prenatal SDH include ruptured aneurysms, preeclampsia, arteriovenous malformations, cocaine use, and coagulopathy, with pregnancy‐associated hypertension and preeclampsia appearing to be the most common contributing factors. 1 , 2 , 3 In this case report, the authors report on a patient with non‐traumatic SDH of unknown origin in the third trimester of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

A multidisciplinary approach to management of a non‐traumatic subdural hematoma in the third trimester of pregnancy: A case report and review of literature

Lugata,

Smith,

Mrosso

et al. 2024

Clinical Case Reports

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Key MessageAlthough non‐traumatic SDHs are uncommon during and immediately following pregnancy, management of these cases should be carried out by a multidisciplinary team, including obstetricians, pediatricians, neurosurgeons, and anesthesiologists.AbstractIntracranial hemorrhage represents an uncommon but serious complication of pregnancy. Non‐traumatic subdural hematomas (SDH) are uncommon during the prenatal period with limited literature about etiology and management. In this case report, the authors report on a patient with non‐traumatic SDH in the third trimester of pregnancy. The patient is a 40‐year‐old G6P5L5 female at gestational age of 34 weeks and 5 days presenting with frontal headache, nausea, vomiting, and blurry vision. CT scan revealed an acute on chronic right subdural hematoma with midline shift and multiple herniations. An emergency cesarean section and right burr hole SDH evacuation were performed. Etiology of the SDH remains unknown. Although non‐traumatic SDHs are uncommon during and immediately following pregnancy, health care providers should always consider this possibility if a patient presents with typical symptoms and signs. Management of these cases should be carried out by a multidisciplinary team, including obstetricians, pediatricians, neurosurgeons, and anesthesiologists to optimize maternal and fetal outcomes.

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Atraumatic Subdural Hematoma in a Third-Trimester Gravid Patient

Cited by 4 publications

References 6 publications

Spontaneous acute subdural hematoma as a complication of preeclampsia. A case report and literature review

Spontaneous acute subdural hematoma as a complication of preeclampsia. A case report and literature review

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

A multidisciplinary approach to management of a non‐traumatic subdural hematoma in the third trimester of pregnancy: A case report and review of literature

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