Document Detail

Postpartum bilateral subdural hematomas following spinal anesthesia: case report.
MedLine Citation:
PMID:  8986156     Owner:  NLM     Status:  MEDLINE    
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: Persistence 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.
J E Cohen; J Godes; B Morales
Related Documents :
10893836 - Immobile vocal fold secondary to thyroid abscess: a case report.
5531906 - Cerebral candidiasis: case report of brain abscess secondary to candida albicans, and r...
19212536 - Palatal abscess in a pediatric patient: report of a case.
8147786 - Anal lymphoma presenting as a perianal abscess.
10865246 - Occupational contact dermatitis to phaseolus vulgaris in a farmer - a case report.
25411866 - Transient remission of childhood acute lymphoblastic and myeloid leukemia without any c...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  47     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-01-23     Completed Date:  1997-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  6-8     Citation Subset:  IM    
Department of Neurosurgery, Hospital de Emergencias Dr. Clemente Alvarez, Rosario, Argentina.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anesthesia, Obstetrical / adverse effects*
Anesthesia, Spinal / adverse effects*
Atrophy / complications,  diagnosis
Brain / pathology*
Diagnosis, Differential
Hematoma, Subdural / diagnosis,  etiology*,  therapy
Puerperal Disorders / diagnosis,  etiology*,  therapy
Tomography, X-Ray Computed

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

Previous Document:  Successful pregnancy after conditioning with cyclophosphamide and fractionated total body irradiatio...
Next Document:  Acute spontaneous subdural hematoma of arterial origin: a report of five cases.