CASE PRESENTATION:
A 25-year-old woman presented to our emergency department with a
complaint of persistent progressive, non-postural headache for 3 days.
The headache was insidious in onset and was not associated with nausea,
vomiting, impairment of consciousness, focal weakness, or numbness.
Sixteen days prior to the presentation, she had delivered a baby via
LSCS after spinal anesthesia. She had no history of pre-eclampsia, head
trauma, connective tissue disorder during her pregnancy, and
preoperative hematological, serological, and coagulation studies were
normal. Following the spinal anesthesia and LSCS, she did not have any
reported complications. Her neurological examination at the time of
presentation was unremarkable.
Computed tomography (CT) scan of the head was performed which revealed
up to 0.9 cm thick hypodense CSDH in right fronto-parieto-temporal
convexity with some degree of mass effect and left-sided midline shift
measuring about 0.6 cm from the center (Figure 1). The cerebral CT
arteriogram and cerebral venogram study were normal. Preoperative
hematological and coagulation studies were normal. The patient
subsequently underwent a right frontoparietal burr hole and evacuation
of the hematoma under general anesthesia without complications. On her
third postoperative day, the patient was discharged home.