Cranial subdural haematoma after spinal anaesthesia.
Intracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital region. The patient improved without surgical decompression. The pathogenesis of headache and subdural haematoma formation after dural puncture is discussed and the literature briefly reviewed. Severe and prolonged post-dural puncture headache should be regarded as a warning sign of an intracranial complication.
Acharya
R
R
Department of Neurosurgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
Chhabra
S S
SS
Ratra
M
M
Sehgal
A D
AD
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001062:Appendectomy; D001510:Bed Rest; D005440:Fluid Therapy; D006261:Headache / Q000209:etiology* / Q000628:therapy; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male
D000700:Analgesics