Intracranial manifestations associated with
autosomal dominant polycystic kidney disease (
ADPKD) include
arachnoid cysts, dolichoectasias, and
subdural hematoma (SDH), although there are only a few
reports of SDH in
patients with
ADPKD. We
report a case of spontaneous SDH in a
patient with
ADPKD. A 33-year-old
woman complained of severe
nausea and
vomiting for 10 days. She had suffered from a
headache for several months. She was diagnosed with
ADPKD and
hypertension 6 years earlier, and the
hypertension was well controlled. Her mental
state was drowsy in the
emergency room. Her
blood pressure was 180/105 mmHg. There was no evidence of
head trauma. Results of a peripheral
blood CBC and
blood chemistry analysis were within normal limits, as were the results of a
blood coagulation test and
urinalysis. She was pregnant and in the eighth week of
gestation.
Brain magnetic resonance imaging revealed SDH in the left lateral convexity and focally in the right lateral convexity, and
brain herniation. Surgical
drainage was performed through a burr hole, under
general anesthesia. Intra-operatively, 62 mL of liquefied
subdural hematoma were removed. She recovered completely without sequelae.