Intracranial chronic subdural haematoma as a complication of epidural anesthesia.
We report the case of a 39-year-old woman with unilateral intracranial chronic subdural haematoma that occurred after epidural anesthesia for excision of a skin scar, complicated by postdural puncture headache. The patient had no history of trauma, headache, coagulation abnormalities, or neurological disorders. Most physicians encountering a case of headache after epidural or spinal anesthesia first think of a postdural puncture headache. Nonetheless, the symptoms subside within 7 days when treated with analgesics and bed rest in the majority of cases. The presence of a continued postdural puncture headache without neurological deterioration, as in this case, should prompt a search for an intracranial lesion.
Ozdemir
Nail
N
Izmir Atatürk Training and Research Hospital, Neurosurgery Department, Izmir, Turkey. nailozdemir@mynet.com
Ari
Mustafa Kemal
MK
Gelal
Mustafa Fazil
MF
Bezircioğlu
Hamdi
H
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D002921:Cicatrix / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D005260:Female; D006261:Headache / Q000000981:diagnostic imaging / Q000209:etiology*; D020200:Hematoma, Subdural, Chronic / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D014057:Tomography, X-Ray Computed