Spontaneous acute subdural hematoma: a case report and literature review
- Journal of Neurology & Stroke
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Ibrahim Issa Assoumane,1 Mèhomè
Wilfried Dossou,1,2 Kpègnon
Nicaise Agada,1,2 Laté
Dzidoula Lawson,1,2 Abdoul
Wahabou Amadou Moussa,1 Ousmane
Issouffou Hamma1
Abstract
1.1. Background: Subdural hematoma is very often associated with head
trauma. There are few documented
cases of spontaneous acute subdural hematoma without a history of trauma.
1.2. Case presentation: A 50-year-old man was admitted
for a mild-intensity headache in helmet-like,
which occurred in the night without any cause waking him up from his sleeping. He denied any drug taken, mainly
anticoagulant, non-steroidal anti-inflammatory drugs. The neurological exam was absolutely normal.
The head CT Scan performed showed a thick left
fronto-temporal spontaneous acute subdural hematoma
The blood investigations were normal. Brain angio-CT didn’t
show any abnormality. The patient benefited from conservative
treatment under observation and experienced a progressive regression of the headache
throughout the hospitalization stay. He was discharged an eleventh day later.
1.3. Conclusion: Spontaneous acute subdural hematoma is a rare entity.
It requires painstaking clinical,
biological, and imaging and a strict follow-up for its management.
Keywords
spontaneous, acute, subdural hematoma, Niamey
