Subdural hematoma as a manifestation of cerebral venous thrombosis. Case report

Abstract

Cerebral venous thrombosis (CVT) is a common complication in pregnant, postpartum and eclampsia patients in a developing country, more common with another pathology prothrombotic profile. Commonly, acute non-traumatic subdural hematomas are rare in young patients without haematological disorders. We reported a case of acute subdural hematoma (ASH) in a patient with cerebral venous thrombosis. A 34-year-old postpartum woman who present seizure in a postpartum period, was studied in the ICU of our hospital. She is under sedation and CT cranial study to show hyperdensity in the superior longitudinal sinus and the left transverse sinus with diffuse subcortical cortical hypodensity in both parietal and occipital lobes and delta sign. All date according a CVT. In addition, a subdural hematoma is appreciate in the left temporal region. The management was non-surgical and a subsequent CT cranial scan showed resolution of the hematoma. Subsequently prothrombotics studies ruled out a hematological problem. The patient was discharged asymptomatic and with anticoagulant treatment. Patients with CVT are frequently in our environment but it does not exist a large number of studies from the neurological point of view. Neurological manifestations are varied and infrequent in a general neurological approach. Our case illustrates that subdural hematomas can be a symptom of cerebral venous thrombosis.