Post-spinal bilateral intracranial subdural haematoma (case report) Postsp nal b lateral ntrakranyal subdural hematom (olgu sunumu)


IŞIK B., Yiǧit N., Kordan A. Z., Kardeş Ö., Özköse Z.

Marmara Medical Journal, vol.18, no.3, pp.135-139, 2005 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 18 Issue: 3
  • Publication Date: 2005
  • Journal Name: Marmara Medical Journal
  • Journal Indexes: Scopus
  • Page Numbers: pp.135-139
  • Gazi University Affiliated: Yes

Abstract

Background and Aim: Post-spinal intracranial subdural haematoma (ISDH) is very uncommon, has serious complications and can even be mortal if it is not treated. Cerebrospinal fluid (CSF) leakage which originating from a dural puncture may cause haemorragia by exraction of the meningeal vessel. In this case report, we aimed to report a bilateral intracranial subdural haematoma case who had had failed spinal anesthesia ten days previously, and discuss the case in the light of the literature. Case: A thirty-five-year old woman diagnosed with acute subdural haematoma was operated. The patient had had a Caesarean section ten days previously. After that she had a headache which did not answer to conservative treatment. The patient was diagnosed to have a subdural haematoma, and an emergency decompression operation was performed under general anesthesia. Discussion and Conclusion: Subdural heamatoma complication should be considered in case of consistent headache after spinal anesthesia which may have failed and a careful examination and radiological evaluation must be made. The analgesics used to treat the headache may veil clinical appearance and this must be kept in mind.