Global Emergency And Critical Care

A Rare Complication Following Spinal Anesthesia for Preparation of C/S Surgery: Intracranial Subdural Hematoma [Glob Emerg Crit Care]
Glob Emerg Crit Care. 2023; 2(2): 80-82

A Rare Complication Following Spinal Anesthesia for Preparation of C/S Surgery: Intracranial Subdural Hematoma

Kemal Sener1, Betul Cam1, Akkan Avci2, Ramazan Güven1
1Department Of Emergence Medicine, Başaksehir Çam And Sakura City Hospital, Istanbul, Turkey
2Health Science University, Adana City Research and Training Hospital, Adana, Turkey

Intracranial subdural hematoma is an uncommon complication of spinal dura mater penetration with few reported cases in the medical literature. This condition is initially misdiagnosed as post-dural punction headache, a common occurence, and treated as such after the procedure. The incidence of postoperative complications is relatively low. The most common complication is headache, which typically begins 24-48 hours after dural puncture, varies in place, and subsides within the first 5 days (3,4). Approximately one-third of people undergoing dural puncture report headache (5). Subdural hematoma should be suspected, particularly if there is no change in posture and the headache lasts longer than expected. It has been reported that the incidence of cerebral subdural hematoma after lumbar puncture about 1: 500000 and 1: 1000000 (6). This uncommon consequence, which is rarely reported in the medical literature, is a life-threatening illness for which early identification and treatment are crucial.

Keywords: Spinal Anesthesia, Subdural Hematoma, Headache, C/S Surgery, Emergency Medicine


Kemal Sener, Betul Cam, Akkan Avci, Ramazan Güven. A Rare Complication Following Spinal Anesthesia for Preparation of C/S Surgery: Intracranial Subdural Hematoma. Glob Emerg Crit Care. 2023; 2(2): 80-82

Corresponding Author: Kemal Sener, Türkiye


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