Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature

Subdural hematoma (SDH) is a rare but serious complication of spinal anesthesia. We report a case of intracranial SDH in a patient developing 11 days after spinal anesthesia for cesarean section. The patient complained of headache on the 2nd post-operative day that was relieved by analgesics, bed re...

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Main Authors: Uma Srivastava, Archna Agrawal, Amrita Gupta, Yogita Dwivedi, Sathiyanarayanan Pilendran, Vinay Shukla
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Obstetric Anaesthesia and Critical Care
Subjects:
Online Access:http://www.joacc.com/article.asp?issn=2249-4472;year=2014;volume=4;issue=1;spage=45;epage=47;aulast=Srivastava
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author Uma Srivastava
Archna Agrawal
Amrita Gupta
Yogita Dwivedi
Sathiyanarayanan Pilendran
Vinay Shukla
author_facet Uma Srivastava
Archna Agrawal
Amrita Gupta
Yogita Dwivedi
Sathiyanarayanan Pilendran
Vinay Shukla
author_sort Uma Srivastava
collection DOAJ
description Subdural hematoma (SDH) is a rare but serious complication of spinal anesthesia. We report a case of intracranial SDH in a patient developing 11 days after spinal anesthesia for cesarean section. The patient complained of headache on the 2nd post-operative day that was relieved by analgesics, bed rest and hydration. Later she presented with severe headache, vomiting, dizziness, dysarthria, irritability and somnolence. Diagnosis of the left sided SDH was confirmed radiologically and treated surgically. The patient recovered completely. The report highlights the need of considering the possibility of SDH in patients when postdural puncture headache is prolonged or recurs after a headache free period with neurological symptoms.
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spelling doaj.art-07d8288e9e284e6986bded1b450c26e42022-12-21T23:02:09ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722014-01-0141454710.4103/2249-4472.132826Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literatureUma SrivastavaArchna AgrawalAmrita GuptaYogita DwivediSathiyanarayanan PilendranVinay ShuklaSubdural hematoma (SDH) is a rare but serious complication of spinal anesthesia. We report a case of intracranial SDH in a patient developing 11 days after spinal anesthesia for cesarean section. The patient complained of headache on the 2nd post-operative day that was relieved by analgesics, bed rest and hydration. Later she presented with severe headache, vomiting, dizziness, dysarthria, irritability and somnolence. Diagnosis of the left sided SDH was confirmed radiologically and treated surgically. The patient recovered completely. The report highlights the need of considering the possibility of SDH in patients when postdural puncture headache is prolonged or recurs after a headache free period with neurological symptoms.http://www.joacc.com/article.asp?issn=2249-4472;year=2014;volume=4;issue=1;spage=45;epage=47;aulast=SrivastavaCesarean sectionpostdural puncture headachespinal anaesthesiasubdural hematoma
spellingShingle Uma Srivastava
Archna Agrawal
Amrita Gupta
Yogita Dwivedi
Sathiyanarayanan Pilendran
Vinay Shukla
Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
Journal of Obstetric Anaesthesia and Critical Care
Cesarean section
postdural puncture headache
spinal anaesthesia
subdural hematoma
title Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
title_full Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
title_fullStr Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
title_full_unstemmed Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
title_short Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
title_sort intracranial subdural hematoma after spinal anesthesia for cesarean section case report and review of literature
topic Cesarean section
postdural puncture headache
spinal anaesthesia
subdural hematoma
url http://www.joacc.com/article.asp?issn=2249-4472;year=2014;volume=4;issue=1;spage=45;epage=47;aulast=Srivastava
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