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- R Acharya, S S Chhabra, M Ratra, and A D Sehgal.
- Department of Neurosurgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
- Br J Anaesth. 2001 Jun 1;86(6):893-5.
AbstractIntracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital region. The patient improved without surgical decompression. The pathogenesis of headache and subdural haematoma formation after dural puncture is discussed and the literature briefly reviewed. Severe and prolonged post-dural puncture headache should be regarded as a warning sign of an intracranial complication.
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