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Published in: Journal of Medical Case Reports 1/2021

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.
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Metadata
Title
Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report
Authors
Delayehu Bekele
Mehari Bayable
Alemayehu Bedane
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2021
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-021-03100-0

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