Document Detail


Intracranial subdural hematoma after spinal anesthesia in a parturient.
MedLine Citation:
PMID:  19155961     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND:: An intracranial subdural hematoma is a rare and potentially fatal complication of spinal anesthesia. CASE:: A gravida 2, para 1 underwent a repeat cesarean for transverse fetal lie. Four hours postoperatively she developed a severe headache with acute nausea and vomiting. Computed tomography scan revealed a 6-mm right subdural hematoma and midline shift of ventricles. She underwent a right frontal craniotomy with evacuation of the hematoma and eventually had a complete recovery. CONCLUSION:: Headache and atypical neurologic signs presenting after spinal anesthesia should prompt rapid evaluation for intracranial hemorrhage.
Authors:
Brenda Dawley; Amy Hendrix
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  570-3     Citation Subset:  AIM; IM    
Affiliation:
Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Spinal / adverse effects*
Anticoagulants / adverse effects*
Cesarean Section
Enoxaparin / adverse effects*
Female
Hematoma, Subdural, Intracranial / diagnosis,  etiology*
Humans
Medication Errors
Patient Transfer
Pregnancy
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Enoxaparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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