• Obstetrics and gynecology · Feb 2009

    Case Reports

    Intracranial subdural hematoma after spinal anesthesia in a parturient.

    • Brenda Dawley and Amy Hendrix.
    • Joan C. Edwards School of Medicine, Huntington, West Virginia, USA.
    • Obstet Gynecol. 2009 Feb 1; 113 (2 Pt 2): 570-3.

    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.

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