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Spontaneous acute subdural hematoma: a case report and literature review

Journal of Neurology & Stroke
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

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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.


spontaneous, acute, subdural hematoma, Niamey