Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section

Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence in the obstetric population. Nevertheless, it is a potentially life-threatening complication. In the majority of the cases, the first clinical symptom associated with intracranial subdural bleeding is severe head...

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Main Authors: Vittorio Schweiger, Giovanni Zanconato, Gisella Lonati, Silvia Baggio, Leonardo Gottin, Enrico Polati
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2013/253408
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author Vittorio Schweiger
Giovanni Zanconato
Gisella Lonati
Silvia Baggio
Leonardo Gottin
Enrico Polati
author_facet Vittorio Schweiger
Giovanni Zanconato
Gisella Lonati
Silvia Baggio
Leonardo Gottin
Enrico Polati
author_sort Vittorio Schweiger
collection DOAJ
description Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence in the obstetric population. Nevertheless, it is a potentially life-threatening complication. In the majority of the cases, the first clinical symptom associated with intracranial subdural bleeding is severe headache, but the clinical course may have different presentations. In this report, we describe the case of a 38-year-old woman with an acute intracranial subdural hematoma shortly after spinal anesthesia for cesarean section. Early recognition of symptoms of neurologic impairment led to an emergency craniotomy for hematoma evacuation with good recovery of neurologic functions. The possibility of subdural hematoma should be considered in any patient complaining of severe persistent headache following regional anesthesia, unrelieved by conservative measures. Only early diagnosis and an appropriate treatment may avoid death or irreversible neurologic damage.
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spelling doaj-art-e8a524b39c044d4faa521a5137eb30892025-08-20T03:21:09ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/253408253408Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean SectionVittorio Schweiger0Giovanni Zanconato1Gisella Lonati2Silvia Baggio3Leonardo Gottin4Enrico Polati5Department of Anesthesiological Sciences and Specialistic Surgeries, University of Verona, 37134 Verona, ItalyDepartment of Life Science and Reproduction, University of Verona, 37134 Verona, ItalyDepartment of Anesthesiological Sciences and Specialistic Surgeries, University of Verona, 37134 Verona, ItalyDepartment of Life Science and Reproduction, University of Verona, 37134 Verona, ItalyDepartment of Anesthesiological Sciences and Specialistic Surgeries, University of Verona, 37134 Verona, ItalyDepartment of Anesthesiological Sciences and Specialistic Surgeries, University of Verona, 37134 Verona, ItalyIntracranial subdural hematoma following spinal anesthesia is an infrequent occurrence in the obstetric population. Nevertheless, it is a potentially life-threatening complication. In the majority of the cases, the first clinical symptom associated with intracranial subdural bleeding is severe headache, but the clinical course may have different presentations. In this report, we describe the case of a 38-year-old woman with an acute intracranial subdural hematoma shortly after spinal anesthesia for cesarean section. Early recognition of symptoms of neurologic impairment led to an emergency craniotomy for hematoma evacuation with good recovery of neurologic functions. The possibility of subdural hematoma should be considered in any patient complaining of severe persistent headache following regional anesthesia, unrelieved by conservative measures. Only early diagnosis and an appropriate treatment may avoid death or irreversible neurologic damage.http://dx.doi.org/10.1155/2013/253408
spellingShingle Vittorio Schweiger
Giovanni Zanconato
Gisella Lonati
Silvia Baggio
Leonardo Gottin
Enrico Polati
Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
Case Reports in Obstetrics and Gynecology
title Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
title_full Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
title_fullStr Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
title_full_unstemmed Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
title_short Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section
title_sort intracranial subdural hematoma after spinal anesthesia for cesarean section
url http://dx.doi.org/10.1155/2013/253408
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