Intracranial epidural hematoma after spinal anesthesia for cesarean section: a case report.

Autor:	Nagasaka, Hiroshi, Horikoshi, Yuta, Nakamura, Tina, Hoshijima, Hiroshi, Imamachi, Noritaka, Doi, Katsushi, Mieda, Tsutomu
Předmět:	SPINAL epidural hematoma EPIDURAL hematoma CESAREAN section SPINAL anesthesia MULTIPLE pregnancy INTRACRANIAL hematoma
Zdroj:	JA Clinical Reports; 10/7/2024, Vol. 10 Issue 1, p1-4, 4p
Abstrakt:	Background: Although subdural hematoma is a rare complication after spinal anesthesia, there have been no reports of an intracranial epidural hematoma after cesarean section with spinal anesthesia. Case presentation: A 32-year-old nulliparous woman at the 35th week of a twin pregnancy underwent an emergency cesarean section due to her first contraction. She had no preoperative complications and the spinal anesthesia was uneventful, with 0.5% bupivacaine 12 mg and fentanyl 15 µg from the L3/4 intervertebral space. She complained of headache and nausea 15 min after spinal anesthesia, demonstrating a consciousness disturbance after surgery. Computed tomography 2 h after the cesarean section revealed an intracranial epidural hematoma. She underwent decompressive craniotomy 1 h later. Conclusion: This case highlights the possible development of an intracranial epidural hematoma in low-risk obstetric patients. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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