Published in:
01-12-2021 | Subdural Hematoma | Case report
Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report
Authors:
Delayehu Bekele, Mehari Bayable, Alemayehu Bedane
Published in:
Journal of Medical Case Reports
|
Issue 1/2021
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Abstract
Background
Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis.
Case presentation
We present a 28-year-old Ethiopian female patient who underwent elective cesarean section under spinal anesthesia and returned to the emergency department after 1 month with a worsening headache. Brain computed tomography revealed a chronic subdural hematoma with a significant midline shift. The patient recovered completely after surgical evacuation.
Conclusions
A high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital.