Abstract
INTRODUCTION: Malaria is a vector-borne disease caused by protozoa and a major cause of mortality and morbidity worldwide. Falciparum malaria causes most malaria-related deaths, and rarely is it associated with subdural hematoma. CASE PRESENTATION: We present a 40-year-old male diagnosed with falciparum malaria. The patient was on treatment for malaria when he developed neurological symptoms, and a CT scan showed subdural hematoma necessitating surgical intervention. DISCUSSION: This case highlights subdural hematoma as a very rare complication of falciparum malaria. There was a recurrence of the subdural hematoma within 2 weeks despite initial intervention, but the patient attained resolution of symptoms after re-evacuation. CONCLUSION: Subdural hematoma is a very rare complication of plasmodium falciparum and physicians ought to have a high index of suspicion especially in endemic regions.