Journal of Case Reports and Images in Obstetrics and Gynecology, Volume 8, Issue 1, 2022. ISSN: 2582-0249 J Case Rep Images Obstet Gynecol 2022;8(1):14–18. www.ijcriog.com Mujuni et al. 14 CASE REPORT OPEN ACCESS Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature Fridolin Mujuni, Mathias Callist Njau, Benard Kenemo, James Lubuulwa ABSTRACT Introduction: Postpartum chronic subdural hematoma (PCSDH) of non-traumatic origin is a rare but potentially life-threatening complication in the obstetric population which usually presents with severe headache. Case Report: We describe timely diagnosis and surgical management of a 27-year-old female patient with bilateral chronic subdural hematoma of non-traumatic origin in the post-postpartum period for which surgical management was employed following irresponsive conservative management. Conclusion: The suspicion of chronic subdural hematoma should be considered in any patient complaining of severe persistent headache following spinal anesthesia in the postpartum period and requires prompt neuroimaging for timely identification. Surgical management following irresponsive conservative management in selected patients can be achieved with satisfactory outcomes. Keywords: Chronic subdural hematoma, Post-dural puncture headache, Spinal anesthesia, Surgical man- agement Fridolin Mujuni 1 , Mathias Callist Njau 2 , MD, MMED, Benard Kenemo 3 , MD, MMED, James Lubuulwa 4 , MBBS, MMED Affiliations: 1 Obstetrician, Department of Obstetrics and Gyne- cology, Bugando Medical Center, Mwanza, Tanzania; 2 Depart- ment of Obstetrics and Gynecology, Bugando Medical Center, Mwanza, Tanzania; 3 Department of Anesthesiology, Bugando Medical Center, Mwanza, Tanzania; 4 Neurosurgeon, Depart- ment of Neurosurgery, Bugando Medical Center, Mwanza, Tanzania. Corresponding Author: Dr. James Lubuulwa, Mwanza, Tanzania; Email: lubisjay9@gmail.com Received: 18 February 2022 Accepted: 12 May 2022 Published: 08 June 2022 How to cite this article Mujuni F, Njau MC, Kenemo B, Lubuulwa J. Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature. J Case Rep Images Obstet Gynecol 2022;8(1):14–18. Article ID: 100118Z08FM2022 ********* doi: 10.5348/100118Z08FM2022CR INTRODUCTION Postpartum chronic subdural hematoma (PCSDH) of non-traumatic origin is a rare but potentially life- threatening complication in the obstetric population which usually presents with severe headaches [1, 2]. Although PCSDH is uncommon, in general, the wide continuum of several neurologic conditions in the obstetric population which present with headaches range from normal postpartum headache, tension headache, and caffeine withdrawal, to serious conditions such as preeclampsia, posterior reversible encephalopathy, cortical vein thrombosis [3], undiagnosed Chiari malformation, and meningitis often resemble PCSDH and make initial diagnosis a clinical challenge [4]. In this case study, we describe a case of bilateral PCSDH in a patient with no prior history of trauma nor prepartum hypertension who presented with severe headaches. The patient was initially diagnosed and treated clinically for common post-dural puncture headache (PDPH) which is the most common usual suspect for patients who have undergone spinal anesthesia. Informed consent was obtained from the patient for the publication of this case report. CASE REPORT PEER REVIEWED | OPEN ACCESS