Open AccessIntracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature
Author(s) -
Uma Srivastava,
Archna Agrawal,
Amrita Gupta,
Yogita Dwivedi,
Sathiyanarayanan Pilendran,
Vinay Shukla
Publication year - 2014
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.132826
Subject(s) - medicine , spinal anesthesia , anesthesia , section (typography) , hematoma , surgery , advertising , business
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