Spontenous Spinal Subdural Hemorrage in Dengue: A Rare Case Presentation

Abstract

In this chapter we highlight the spontaneous subdural hemorrhage in dengue fever, that miss lead us as tumor on MRI and no any review of literature did not report any cases of SSDH with SAH as a presenting feature of dengue fever. Spinal subdural hemorrhage is extremely rare in all cases of spontaneous spinal hemorrhage (epidural, subdural, and intramedullary hemorrhage). Bleeding diathesis is a common Dengue fever complication, as are other systemic complications such as renal toxicity, heart failure, shock, and electrolyte abnormalities. Dengue fever with neurological complications is extremely rare, occurring in only 1% of patients.  A 52-year-old female patient presented with acute onset of progressive bilateral lower limb weakness accompanied with difficulty in micturition and headache for a 5-day duration. She also had a history of fever prior to lower limb weakness and headache. Clinical examination revealed grade 2 motor power in both lower limbs, absent deep tendon reflexes, and equivocal Babinski’s reflex. There was no definite sensory deficit. Postoperatively, the patient got better after the hematoma was removed. One unusual form of dengue fever is spontaneous SDH with SAH. It's crucial to act quickly to stop permanent neurological deficits.