Atraumatic Subdural Hematoma in a Third-Trimester Gravid Patient

Area of Science:

• Neurology
• Obstetrics
• Radiology

Background:

• Acute atraumatic subdural hematoma is uncommon, with limited documented cases and etiological understanding.
• Pregnancy, particularly in the third trimester, can present unique physiological challenges.
• Sudden neurological changes in a patient can indicate serious underlying intracranial pathology.

Purpose of the Study:

• To present a rare case of acute atraumatic subdural hematoma in a pregnant patient.
• To discuss potential risk factors associated with atraumatic subdural hematoma in this specific demographic.
• To emphasize the importance of prompt neurological evaluation in obstetric patients presenting with acute changes.

Main Methods:

• Case report presentation.
• Review of patient's initial presentation and clinical course.
• Diagnostic imaging using computed tomography (CT) for intracranial evaluation.

Main Results:

• A 36-year-old female at 32-week gestation developed an acute subdural hematoma.
• CT scan confirmed a right subdural hematoma with significant midline shift and mass effect.
• The exact cause remained undetermined, but several risk factors for atraumatic subdural hematoma were identified.

Conclusions:

• This case underscores the possibility of acute atraumatic subdural hematoma in pregnancy, even without a clear precipitating event.
• Identifying and understanding risk factors are crucial for early diagnosis and management.
• Prompt neuroimaging is vital for pregnant patients experiencing acute neurological deterioration.