PMID: 8986156Jan 1, 1997Paper

Postpartum bilateral subdural hematomas following spinal anesthesia: case report

Surgical Neurology
J E CohenB Morales

Abstract

Intracranial subdural hematoma is an exceptionally rare complication of spinal anesthesia. We report a case of this infrequent event and consider the influence of cerebral atrophy as a predisposing factor. This 18-year-old woman with severe headaches was admitted to the hospital 42 days after delivery. She had a history of normal pregnancy and uneventful labor and delivery. The epidural anesthesia was satisfactory. Computed tomography showed bilateral chronic subdural hematomas that were surgically removed. An early follow-up scan showed marked resolution of the hematomas and a small sized brain with large subarachnoid space. A late follow-up scan confirmed the diagnosis of brain atrophy. Persistence of headache and gradual progression despite treatment must be regarded as a sign of intracranial complication following spinal anesthesia. In this case, cerebral atrophy is considered to be a contributory factor for the development of subdural hematoma following dural puncture.

References

Feb 1, 1990·Anesthesiology·M E MaconE M Brown
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Citations

Oct 11, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Tiberiu EzriShmuel Evron
Dec 7, 2002·Journal of Spinal Disorders & Techniques·Atsuya WatanabeIsao Ohki
Aug 29, 2003·Regional Anesthesia and Pain Medicine·Jerzy SlowinskiRyszard Mrowka
Apr 27, 2012·Case Reports in Medicine·Mehrdad MoradiKarim Nesseri
Oct 27, 2015·Korean journal of anesthesiology·Aydemir KaleEmre Durdağ
Dec 5, 2002·European Journal of Anaesthesiology·O De TommasoV Tagariello
Feb 10, 1998·Health Affairs·M L Berk, C L Schur
Dec 25, 2002·Journal of Neurosurgical Anesthesiology·Ebru KelsakaAyla Tur
May 24, 2001·Current Opinion in Neurology·S D Silberstein
Apr 23, 1999·Anaesthesia and Intensive Care·E A AkpekZ Kayhan
Dec 4, 2020·Curēus·Rachel E BridwellJoshua Oliver
Oct 12, 2004·Neurologic Clinics·Stephen D Silberstein

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