Chronic subdural haematoma complicating spinal anaesthesia.
Cranial subdural haematoma formation following spinal anaesthesia is exceptionally rare. A 38-year-old male developed headache two days after testicular surgery under spinal anaesthesia. The headache progressed in spite of analgesics, and three weeks later cranial CT showed a large chronic subdural haematoma in the left fronto-parietal region. The patient improved after surgical decompression. The pathogenesis of subdural haematoma formation after dural puncture is discussed and the literature briefly reviewed. Prolonged and severe post-dural puncture headache should be viewed with suspicion and investigated promptly to rule out any intracranial complication.
Acharya
R
R
Intermed, 38/16 East Patel Nagar, New Delhi 110060, India. drracharya@rediffmail.com
D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male