title: Subdural hematoma occurred after spinal anesthesia in a human immunodeficiency virus-infected patient.
abstract: A 25-year-old male patient who was infected with human immunodeficiency virus (HIV) underwent a condyloma excision under spinal anesthesia. The patient complained of suspicious postdural puncture headache. The patient did not respond to conservative management. Subsequently, the subdural hematoma (SDH) was found through magnetic resonance imaging. In response, an epidural blood patch was used to improve the symptoms and inhibit the enlargement of the SDH. The patient was discharged after it was confirmed that a headache had subsided without increasing SDH. Anesthesiologist should be aware of other causes of headaches after spinal anesthesia in HIV-infected patients and should carefully and accurately identify the cause.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Kyung Tae
authors.initials: KT
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Ji Yeon
authors.initials: JY
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Eun Mi
authors.initials: EM
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jun Hyun
authors.initials: JH
authors.lastname: Kim
keywords: Human immunodeficiency virus infections; postdural puncture headache; spinal anesthesia; subdural hematoma