A Rare Case of Spontaneous Subdural Hemorrhage in Dengue Fever That Mimics a Tumor on MRI: A Case Report

Background Date: In all cases of spontaneous spinal hemorrhage (epidural, subdural, and intramedullary hemorrhage), spinal subdural hemorrhage is extremely rare. Bleeding diathesis is a commonly associated complication of Dengue fever along with multisystemic complications, such as renal toxicity, heart failure, shock, and electrolyte abnormalities. Dengue fever presenting as a neurological complication is extremely rare, <1% of patients. Study Design: A case report. Purpose: To report a rare case of dengue fever with spontaneous subdural hematoma (SDH) and subarachnoid hemorrhage (SAH) in the spine. Case Report: 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. Results: Patient improved postoperatively after hematoma evacuation. Conclusion: Spontaneous SDH with SAH can be a rare presentation of dengue fever. Prompt intervention is very important to prevent irreversible neurological deficits. (2021ESJ241)