Document Detail


Postpartum bilateral subdural hematomas following spinal anesthesia: case report.
MedLine Citation:
PMID:  8986156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J E Cohen; J Godes; B Morales
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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    
Affiliation:
Department of Neurosurgery, Hospital de Emergencias Dr. Clemente Alvarez, Rosario, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia, Obstetrical / adverse effects*
Anesthesia, Spinal / adverse effects*
Atrophy / complications,  diagnosis
Brain / pathology*
Causality
Diagnosis, Differential
Female
Hematoma, Subdural / diagnosis,  etiology*,  therapy
Humans
Pregnancy
Puerperal Disorders / diagnosis,  etiology*,  therapy
Tomography, X-Ray Computed

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


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