Intracranial rebleeding post spinal anesthesia in pregnant patient with undiagnosed chronic subdural hematoma: case report

Autor: Laura Bisinotto Martins, Flora Margarida Barra Bisinotto, Roberto Alexandre Dezena, Rafael Meirelles
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Brazilian Journal of Anesthesiology, Vol 72, Iss 4, Pp 522-524 (2022)
Druh dokumentu: article
ISSN: 0104-0014
DOI: 10.1016/j.bjane.2021.08.025
Popis: Intracranial hematoma after spinal anesthesia is a rare complication. It generally presents with posture-dependent headache that becomes persistent. We describe the case of patient submitted to spinal anesthesia for cesarean section who presented a non-posture-dependent headache, resistant to clinical treatment, that progressively worsened and with symptoms of intracranial hypertension. The patient had a history of head trauma without symptoms. The CT-scan revealed a chronic bilateral parietal hematoma with a recent bleeding component, treated surgically. We concluded that spinal puncture led to chronic hematoma to rebleed. We have reported the case to draw attention to the importance of investigating atypical headache after spinal anesthesia.
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