Postpartum bilateral subdural hematomas following spinal anesthesia: Case report

被引:31
作者
Cohen, JE
Godes, J
Morales, B
机构
[1] HOSP EMERGENCIAS DR CLEMENTE ALVAREZ, DEPT NEURORADIOL, ROSARIO, ARGENTINA
[2] HOSP EMERGENCIAS DR CLEMENTE ALVAREZ, DEPT NEUROSURG, ROSARIO, ARGENTINA
来源
SURGICAL NEUROLOGY | 1997年 / 47卷 / 01期
关键词
spinal anesthesia; complication; subdural hematoma; headache; brain atrophy;
D O I
10.1016/S0090-3019(96)00241-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND 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. METHODS AND RESULTS 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. CONCLUSIONS Persistance 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. (C) 1997 by Elsevier Science Inc.
引用
收藏
页码:6 / 8
页数:3
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