Eclampsia complicated by acute subdural haematoma: A case report

Introduction: Acute subdural haematoma (ASDH) is usually a post-traumatic sequel but only a few spontaneous cases complicating eclampsia have been reported. Presentation of case: We report the case of a 19-year-old patient who presented with intrapartum eclampsia at 38 weeks gestation, and developed neurologic signs that persisted after delivery. Computerized tomography (brain) revealed an acute subdural haematoma which was successfully managed conservatively in our facility. Discussion: Subdural haematoma is bleeding into the space between the dura and pia matter. This report presents the management of a case of eclampsia which was complicated by subdural haematoma. The decision to manage this patient non-operatively was due to her improved neurological status and brain CT scan finding which showed no significant mass effect being exerted by the haematoma. Conclusion: The good outcome in this report demonstrates the importance of a multidisciplinary approach, early detection, and diagnosis which are crucial for the successful management of subdural haematoma that may complicate eclampsia.