Intracranial Subdural Hemorrhage After Spinal Anesthesia
Intracranial Subdural Hemorrhage After Spinal Anesthesia
Introduction Spinal anesthesia is a widely used general purpose anesthesia. However, serious complications, such as intracranial subdural hemorrhage, can rarely occur.
Case presentation We report the case of a 73-year-old Japanese woman who had acute onset of intracranial subdural hemorrhage five days after spinal anesthesia for knee arthroscopic surgery.
Conclusion This case highlights the need to pay attention to acute intracranial subdural hemorrhage as a complication after spinal anesthesia. If the headache persists even in a supine position or nausea occurs abruptly, computed tomography or magnetic resonance imaging of the brain should be conducted. An intracranial subdural hematoma may have a serious outcome and is an important differential diagnosis for headache after spinal anesthesia.
Spinal (subarachnoid) anesthesia is a widely used general purpose anesthesia. However, serious complications, such as intracranial subdural hemorrhage, can rarely occur. The incidence of intracranial subdural hemorrhage after spinal anesthesia has been reported to be one in 500,000. In a literature review, 35 cases were identified and most had a chronic course with onset after a postdural puncture headache. We report a case of acute onset of an intracranial subdural hematoma without trauma five days after spinal anesthesia.
Abstract and Introduction
Abstract
Introduction Spinal anesthesia is a widely used general purpose anesthesia. However, serious complications, such as intracranial subdural hemorrhage, can rarely occur.
Case presentation We report the case of a 73-year-old Japanese woman who had acute onset of intracranial subdural hemorrhage five days after spinal anesthesia for knee arthroscopic surgery.
Conclusion This case highlights the need to pay attention to acute intracranial subdural hemorrhage as a complication after spinal anesthesia. If the headache persists even in a supine position or nausea occurs abruptly, computed tomography or magnetic resonance imaging of the brain should be conducted. An intracranial subdural hematoma may have a serious outcome and is an important differential diagnosis for headache after spinal anesthesia.
Introduction
Spinal (subarachnoid) anesthesia is a widely used general purpose anesthesia. However, serious complications, such as intracranial subdural hemorrhage, can rarely occur. The incidence of intracranial subdural hemorrhage after spinal anesthesia has been reported to be one in 500,000. In a literature review, 35 cases were identified and most had a chronic course with onset after a postdural puncture headache. We report a case of acute onset of an intracranial subdural hematoma without trauma five days after spinal anesthesia.
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