Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report
Abstract Background Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis. Case presentation We present a 28-year-old Ethiopia...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-10-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-021-03100-0 |
| _version_ | 1818916374740729856 |
|---|---|
| author | Delayehu Bekele Mehari Bayable Alemayehu Bedane |
| author_facet | Delayehu Bekele Mehari Bayable Alemayehu Bedane |
| author_sort | Delayehu Bekele |
| collection | DOAJ |
| description | Abstract Background Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis. Case presentation We present a 28-year-old Ethiopian female patient who underwent elective cesarean section under spinal anesthesia and returned to the emergency department after 1 month with a worsening headache. Brain computed tomography revealed a chronic subdural hematoma with a significant midline shift. The patient recovered completely after surgical evacuation. Conclusions A high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital. |
| first_indexed | 2024-12-20T00:17:10Z |
| format | Article |
| id | doaj.art-922a70b304ee40b391f1d96cb04f9f3b |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-20T00:17:10Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-922a70b304ee40b391f1d96cb04f9f3b2022-12-21T20:00:17ZengBMCJournal of Medical Case Reports1752-19472021-10-011511410.1186/s13256-021-03100-0Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case reportDelayehu Bekele0Mehari Bayable1Alemayehu Bedane2Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Radiology, Saint Paul’s Hospital Millennium Medical CollegeAbstract Background Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis. Case presentation We present a 28-year-old Ethiopian female patient who underwent elective cesarean section under spinal anesthesia and returned to the emergency department after 1 month with a worsening headache. Brain computed tomography revealed a chronic subdural hematoma with a significant midline shift. The patient recovered completely after surgical evacuation. Conclusions A high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital.https://doi.org/10.1186/s13256-021-03100-0Spinal anesthesiaComplicationsSubdural hematomaPost-dural puncture headache |
| spellingShingle | Delayehu Bekele Mehari Bayable Alemayehu Bedane Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report Journal of Medical Case Reports Spinal anesthesia Complications Subdural hematoma Post-dural puncture headache |
| title | Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report |
| title_full | Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report |
| title_fullStr | Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report |
| title_full_unstemmed | Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report |
| title_short | Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report |
| title_sort | chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section a case report |
| topic | Spinal anesthesia Complications Subdural hematoma Post-dural puncture headache |
| url | https://doi.org/10.1186/s13256-021-03100-0 |
| work_keys_str_mv | AT delayehubekele chronicintracranialsubduralhematomaafterspinalanesthesiaforacesareansectionacasereport AT meharibayable chronicintracranialsubduralhematomaafterspinalanesthesiaforacesareansectionacasereport AT alemayehubedane chronicintracranialsubduralhematomaafterspinalanesthesiaforacesareansectionacasereport |