Article citationsMore>>

Beck, J., Gralla, J., Fung, C., Ulrich, C.T., Schucht, P., Fichtner, J., et al. (2014) Spinal Cerebrospinal Fluid Leak as the Cause of Chronic Subdural Hematomas in Nongeriatric Patients. Journal of Neurosurgery, 121, 380-387.
https://doi.org/10.3171/2014.6.JNS14550

has been cited by the following article:

• TITLE: Chronic Subdural Hematoma, a Cause of Persistent Post-Dural Puncture Headache in the Postpartum Period

  AUTHORS: Daniel Kanyata, Omar Ahmed Nassir, Christopher K. Musau, Victoria Adhiambo Gamba, Mariatu Tamimu, Michelle Gathecha, Lily Nyamai

  KEYWORDS: Case Report, Post Dural Puncture Headache

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.11 No.3, March 18, 2021

  ABSTRACT: Background: Chronic subdural heamatoma (CSDH) is a disease that predominantly occurs in the elderly population. This is because of physiological atrophy of the brain parenchyma and frailty which leads to higher risk of falls. CSDH is unusual in the younger population but can be seen in the context of impact injuries in the younger population and mostly in males. Case Reports: We describe CSDH in 4 young postpartum mothers with no history of trauma. All had cesarean section births under spinal anaesthesia. The 4 mothers’ ages range from 24 years to 32 years. They presented with persistent post-dural puncture headaches with 2 of the mothers having focal neurological deficits. They presented between 4 weeks and 6 weeks after cesarean section. Three mothers underwent burrhole evacuation with one mother having a craniotomy. All recovered after surgery. Conclusion: Spinal anaesthesia and disruption of the CSF dynamics is the only identifiable risk factors in these young mothers. A longitudinal follow-up of mothers undergoing spinal anaesthesia should be done to document the incidence of CSDH in postpartum mothers.