A Rare Case of Epileptic Seizure After-effect Resulting in Nontraumatic Spontaneous Subdural Hemorrhage

Shalendra Singh; Ashutosh Kaushal; Rashmi Datta; Rijesh R Unnithan; Nitasha Mishra

doi:10.5005/jp-journals-10071-23535

A Rare Case of Epileptic Seizure After-effect Resulting in Nontraumatic Spontaneous Subdural Hemorrhage

Indian J Crit Care Med. 2020 Aug;24(8):722-723. doi: 10.5005/jp-journals-10071-23535.

Authors

Shalendra Singh¹, Ashutosh Kaushal², Rashmi Datta³, Rijesh R Unnithan¹, Nitasha Mishra⁴

Affiliations

¹ Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, Maharastra, India.
² Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, Uttrakhand, India.
³ Department of Anaesthesiology and Critical Care, Command Hospital (WC), Chandigarh, India.
⁴ Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Abstract

Generalized tonic-clonic seizures (GTCS) result in diverse physiological alterations that are mostly short-lived and rarely lead to immediate serious consequences. Some early serious complications reported are head trauma and aspiration. While most cases of seizures are diagnosed readily from clinical history, some cases remain indolent and present later. A brain hemorrhage can have varied manifestations that warrant every clinician to be vigilant in diagnosis and management to prevent life-threatening complications. Furthermore, many reports have described seizures in patients operated for subdural hematoma (SDH), but to the best of our knowledge, none reveals SDH after the seizure. We encountered an unexpected incident of severe SDH in a 32-year-old adult following witnessed GTCS.

How to cite this article: Singh S, Kaushal A, Datta R, Unnithan RR, Mishra N. A Rare Case of Epileptic Seizure After-effect Resulting in Nontraumatic Spontaneous Subdural Hemorrhage. Indian J Crit Care Med 2020;24(8):722-723.

Keywords: Brain hemorrhage; Generalized tonic–clonic seizures; Subdural hematoma.

Publication types

Case Reports