Subdural hematoma after an epidural blood patch.
We report the case of a 37-year-old postpartum patient who developed a contained subacute spinal subdural hematoma causing mass effect on the cauda equina and severe spinal stenosis after undergoing an epidural blood patch for postdural puncture headache. Recovery occurred following administration of oral steroids.
Department of Anesthesiology, Stanford University Medical Centre, Stanford, CA 94305, USA. luisv1@stanford.edu
L A
LA
Verduzco
S W
SW
Atlas
E T
ET
Riley
D000082:Acetaminophen / Q000627:therapeutic use; D000328:Adult; D000588:Amines / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D017217:Blood Patch, Epidural / Q000009:adverse effects* / Q000379:methods; D002420:Cauda Equina / Q000473:pathology; D003509:Cyclohexanecarboxylic Acids / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D000077206:Gabapentin; D046649:Hematoma, Subdural, Spinal / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D006853:Hydrocodone / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D051299:Post-Dural Puncture Headache / Q000150:complications / Q000628:therapy; D011241:Prednisone / Q000627:therapeutic use; D011247:Pregnancy; D011644:Puerperal Disorders / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013130:Spinal Stenosis / Q000150:complications / Q000188:drug therapy / Q000473:pathology; D016896:Treatment Outcome; D005680:gamma-Aminobutyric Acid / Q000627:therapeutic use
D000588:Amines; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000893:Anti-Inflammatory Agents; D003509:Cyclohexanecarboxylic Acids; D000082:Acetaminophen; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D006853:Hydrocodone; D011241:Prednisone; D008775:Methylprednisolone