Bilateral Subdural Haematoma and CPAP Use: A Possible Association
  • Beatrice Khater
    American University of Beirut, Beirut, Lebanon
  • Vicky Kassouf
    American University of Beirut, Beirut, Lebanon
  • Georges Haddad
    American University of Beirut, Beirut, Lebanon
  • Roula Hourany
    American University of Beirut, Beirut, Lebanon

Keywords

Headache, subdural haematoma, obstructive sleep apnoea, CPAP

Abstract

Obstructive sleep apnoea (OSA) is a common condition usually treated with continuous positive airway pressure (CPAP). No reports have linked it to an acute subdural haematoma. A 54-year-old white man who had hypertension well controlled with an angiotensin II receptor blocker, presented with a 2-week history of occipital headache with no other focal neurological symptoms. The headache began 12 days after he had started using CPAP for OSA. A brain MRI performed 2 weeks later showed bilateral subdural haematomas which were chronic on the left and sub-acute/acute on the right. Since the patient was clinically stable with no focal neurological deficits, he received prednisone for 3 weeks and was followed up with consecutive CT scans demonstrating gradual regression of the haematomas. This is the first report showing that subdural haematomas could be linked to CPAP use.

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    Published: 2020-05-28
    Issue: 2020: Vol 7 No 8 (view)


    How to cite:
    1.
    Khater B, Kassouf V, Haddad G, Hourany R. Bilateral Subdural Haematoma and CPAP Use: A Possible Association. EJCRIM 2020;7 doi:10.12890/2020_001602.