title: Chronic subdural haematoma associated with pre-eclampsia: case report and review of the literature.
abstract: Pre-eclampsia complicates approximately 5-8% of all pregnancies and may have adverse long-term effects on both mother and child. Chronic atraumatic subdural haematoma as a complication of severe pre-eclampsia, in the absence of clotting factor abnormalities, is a very rare condition. We present the case of a 30-year-old Moroccan woman who had a pregnancy 10 years previously, with an uneventful delivery. She presented with pre-eclampsia complicating a 29-week-old pregnancy. A few days preceding maternity unit admission the patient complained of headaches and malaise. Her blood pressure at admission was 150/120mmHg and subsequently was treated with doses of methyldopa and magnesium sulphate. Her condition worsened with a loss of consciousness 24 hours later and was transferred to the neurosurgical unit. A brain computerized tomography (CT) scan revealed a left-sided subdural haematoma and the patient underwent surgery, with a good postoperative outcome. This article highlights the occurrence of neurological complications due to pre-eclampsia/eclampsia that require particular neurosurgical attention, its treatment and prognosis. We also review the literature regarding this pathology.
authors.affiliation: Department of Neurosurgery, hôpital Ibn Sina, Mohammed V University-Souissi, Rabat-Sale, Morocco. Electronic address: bendjoubairou@yahoo.fr.
authors.forename: B O
authors.initials: BO
authors.lastname: Djoubairou
authors.affiliation: Department of Neurosurgery, hôpital Ibn Sina, Mohammed V University-Souissi, Rabat-Sale, Morocco.
authors.forename: J
authors.initials: J
authors.lastname: Onen
authors.affiliation: Department of Neurosurgery, hôpital Ibn Sina, Mohammed V University-Souissi, Rabat-Sale, Morocco.
authors.forename: A K
authors.initials: AK
authors.lastname: Doleagbenou
authors.affiliation: Department of Neurosurgery, hôpital Ibn Sina, Mohammed V University-Souissi, Rabat-Sale, Morocco.
authors.forename: N
authors.initials: N
authors.lastname: El Fatemi
authors.affiliation: Department of Neurosurgery, hôpital Ibn Sina, Mohammed V University-Souissi, Rabat-Sale, Morocco.
authors.forename: M R
authors.initials: MR
authors.lastname: Maaqili
mesh_terms: D000328:Adult; D005260:Female; D006261:Headache / Q000209:etiology; D020200:Hematoma, Subdural, Chronic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011379:Prognosis; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Hématome sous-dural; Pre-eclampsia; Pré-éclampsie; Subdural haematoma