{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T23:08:11Z","timestamp":1778886491186,"version":"3.51.4"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSubdural hematoma (SDH) is considered spontaneous in the absence of trauma history. It is a common presentation in the geriatric age group due to the many influential factors. Most cases have a known underlying etiology that explains the incidence, otherwise, they are considered idiopathic. We present a rare case report of idiopathic nontraumatic bilateral SDH with a literature review of similar cases.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 28-year-old fit individual presented to the Emergency Department with a chronic history of severe headache and neck pain, associated with behavioral changes in the last 2 days. He reported that his symptoms started after lifting a heavy object 2 months ago; however, they became worse after a neck chiropractor therapy session. He is not on any chronic medications, and there was a negative history of trauma, seizure, hematological diseases, family history of neurological conditions, smoking, alcohol, or drug abuse with an unremarkable systemic review. A brain computerized tomography (CT) showed bilateral SDHs, for which he underwent bilateral mini craniotomies and drainage. The symptoms improved after surgery and the follow-up brain CT showed no recurrence.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nIdiopathic spontaneous bilateral SDH in the adult age group is an extremely rare pathology and the literature review only revealed three similar cases. With the absence of any pathology that would explain the presentation after extensive investigations, we hypothesized that a sudden rise in vascular pressure was the underlying etiology, especially with the fact that the symptoms became unbearable after the neck chiropractor therapy session.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_226_2023","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T07:07:18Z","timestamp":1680851238000},"page":"130","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Idiopathic spontaneous bilateral subdural hematoma in a 28-year-old male: A comprehensive literature review and case report"],"prefix":"10.25259","volume":"14","author":[{"given":"Abdulhadi Y.","family":"Algahtani","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Jeddah, Saudi Arabia"},{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz M.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"King Abdullah International Medical Research Center, Jeddah, Saudi Arabia"},{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"Ashqar","sequence":"additional","affiliation":[{"name":"King Abdullah International Medical Research Center, Jeddah, Saudi Arabia"},{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz Abdullah","family":"Basurrah","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, King Abdullah Medical City in Holy Capital, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moajeb","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Jeddah, Saudi Arabia"},{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"10.25259\/SNI_226_2023\/ref-1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s00701-004-0415-0","article-title":"Spontaneous subdural haematoma in anabolic steroids dependent weight lifters: Reports of two cases and review of literature","volume":"147","author":"Alaraj","year":"2005","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_226_2023\/ref-2","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S0303-8467(76)80052-2","article-title":"Bilateral acute spontaneous subdural hematoma. A case report","volume":"79","author":"Buruma","year":"1976","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_226_2023\/ref-3","doi-asserted-by":"crossref","first-page":"e63","DOI":"10.1016\/j.jemermed.2014.04.026","article-title":"Acute spontaneous subdural hematoma in a middle-aged adult: Case report and review of the literature","volume":"47","author":"Coombs","year":"2014","journal-title":"J Emerg Med"},{"key":"10.25259\/SNI_226_2023\/ref-4","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1097\/00007611-197804000-00030","article-title":"Complete spontaneous resolution of bilateral subdural hematoma","volume":"71","author":"Erkulvrawatr","year":"1978","journal-title":"South Med J"},{"key":"10.25259\/SNI_226_2023\/ref-5","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1590\/0100-69912015005003","article-title":"Chronic subdural hematoma: Epidemiological and prognostic analysis of 176 cases","volume":"42","author":"Farhat Neto","year":"2015","journal-title":"Rev Col Bras Cir"},{"key":"10.25259\/SNI_226_2023\/ref-6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4103\/0253-7176.155656","article-title":"Psychiatric manifestation of chronic subdural hematoma: The unfolding of mystery in a homeless patient","volume":"37","author":"Kar","year":"2015","journal-title":"Indian J Psychol Med"},{"key":"10.25259\/SNI_226_2023\/ref-7","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.jcma.2018.03.010","article-title":"Spontaneous chronic subdural hematoma in elderly people-Arterial hypertension and other risk factors","volume":"81","author":"Kosti\u0107","year":"2018","journal-title":"J Chin Med Assoc"},{"key":"10.25259\/SNI_226_2023\/ref-8","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1161\/01.RES.59.2.216","article-title":"Role of veins and cerebral venous pressure in disruption of the blood-brain barrier","volume":"59","author":"Mayhan","year":"1986","journal-title":"Circ Res"},{"key":"10.25259\/SNI_226_2023\/ref-9","doi-asserted-by":"crossref","first-page":"102907","DOI":"10.1016\/j.amsu.2021.102907","article-title":"Nontraumatic bilateral subdural hematoma: Case report","volume":"71","author":"Mohamed","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"10.25259\/SNI_226_2023\/ref-10","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1136\/jnnp.74.8.1131","article-title":"Pseudosubarachnoid haemorrhage in subdural haematoma","volume":"74","author":"Rabinstein","year":"2003","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_226_2023\/ref-11","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1111\/head.12717","article-title":"A motion simulator ride associated with headache and subdural hematoma: First case report","volume":"56","author":"Scranton","year":"2016","journal-title":"Headache"},{"key":"10.25259\/SNI_226_2023\/ref-12","doi-asserted-by":"crossref","first-page":"234","DOI":"10.3340\/jkns.2012.52.3.234","article-title":"Recent changes in risk factors of chronic subdural hematoma","volume":"52","author":"Sim","year":"2012","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_226_2023\/ref-13","doi-asserted-by":"crossref","first-page":"2629","DOI":"10.1007\/s00701-021-04879-z","article-title":"Incidence of chronic subdural haematoma: A single-centre exploration of the effects of an ageing population with a review of the literature","volume":"163","author":"Stubbs","year":"2021","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_226_2023\/ref-14","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1136\/jnnp.47.2.121","article-title":"Why do bridging veins rupture into the virtual subdural space?","volume":"47","author":"Yamashima","year":"1984","journal-title":"J Neurol Neurosurg Psychiatry"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/idiopathic-spontaneous-bilateral-subdural-hematoma-in-a-28-year-old-male-a-comprehensive-literature-review-and-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/idiopathic-spontaneous-bilateral-subdural-hematoma-in-a-28-year-old-male-a-comprehensive-literature-review-and-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T07:07:25Z","timestamp":1680851245000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/idiopathic-spontaneous-bilateral-subdural-hematoma-in-a-28-year-old-male-a-comprehensive-literature-review-and-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,7]]},"references-count":14,"alternative-id":["10.25259\/SNI_226_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_226_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,7]]},"article-number":"130"}}