CASE PRESENTATION:
A 25-year-old woman presented to our emergency department with a complaint of persistent progressive, non-postural headache for 3 days. The headache was insidious in onset and was not associated with nausea, vomiting, impairment of consciousness, focal weakness, or numbness. Sixteen days prior to the presentation, she had delivered a baby via LSCS after spinal anesthesia. She had no history of pre-eclampsia, head trauma, connective tissue disorder during her pregnancy, and preoperative hematological, serological, and coagulation studies were normal. Following the spinal anesthesia and LSCS, she did not have any reported complications. Her neurological examination at the time of presentation was unremarkable.
Computed tomography (CT) scan of the head was performed which revealed up to 0.9 cm thick hypodense CSDH in right fronto-parieto-temporal convexity with some degree of mass effect and left-sided midline shift measuring about 0.6 cm from the center (Figure 1). The cerebral CT arteriogram and cerebral venogram study were normal. Preoperative hematological and coagulation studies were normal. The patient subsequently underwent a right frontoparietal burr hole and evacuation of the hematoma under general anesthesia without complications. On her third postoperative day, the patient was discharged home.