Spontaneous subdural hematoma and diabetes insipidus in severe dengue in a south-eastern Caribbean island: case report and review of literature

Dengue is endemic to the Caribbean. Neurological complications that occur in severe dengue are extremely rare. Severe central nervous system involvement is a dangerous complication of dengue associated with a high mortality. No definite medical versus surgical management consensus exists as studies have highlighted varying outcomes for severe dengue with intracranial hemorrhage (ICH). Our case highlights a patient presenting with severe dengue complicated by an ICH and subsequent diabetes insipidus postoperatively further emphasizing this controversy.