[Intracerebral subdural hematoma after delivery with peridural catheter anesthesia].
26 days past an obstetric catheter epidural anesthesia a subdural haematoma right fronto-temporal was diagnosed and relieved by operation in a primipara of 19 years of age. Already several days after the delivery the patient was suffering recurrent headaches, at first misinterpreted as post-spinal headaches. Weeks later a cranial computer tomography lead to the right diagnosis. Although the occurrence of a subdural haematoma after catheter epidural anesthesia is extremely rare, untypical headaches following spinal, epidural or caudal procedures, should call your attention towards this complication. Because of the pressing mechanisms during childbearing, delivering mothers run the risk of a subdural haematoma.
Thöns
M
M
Abteilung für Anästhesiologie, Marienhospital Witten.
Neveling
D
D
Hatzmann
W
W
D000767:Anesthesia, Epidural / Q000295:instrumentation*; D000773:Anesthesia, Obstetrical / Q000295:instrumentation*; D002408:Catheters, Indwelling; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008619:Mepivacaine; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
D008619:Mepivacaine
Intracerebrales subdurales Hämatom nach Entbindung unter Periduralkatheteranästhesie.