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Chronic subdural haematoma complicating spinal anaesthesia
1Intermed, 38/16 East Patel Nagar, New Delhi 110060, India. drracharya@rediffmail.com
Summary
Cranial subdural haematoma is a rare complication of spinal anaesthesia. Prompt investigation of severe headaches post-dural puncture is crucial to rule out intracranial issues like subdural haematoma.
Area of Science:
- Neurology
- Neurosurgery
- Anesthesiology
Background:
- Spinal anaesthesia involves dural puncture, which can lead to cerebrospinal fluid leakage.
- Post-dural puncture headache is a known complication, usually self-limiting.
Observation:
- A 38-year-old male experienced persistent headache post-spinal anaesthesia for testicular surgery.
- Headache severity increased despite analgesic treatment over three weeks.
Findings:
- Cranial CT revealed a large chronic subdural haematoma in the left fronto-parietal region.
- Surgical decompression led to patient improvement.
Implications:
- This case highlights the rare but serious risk of subdural haematoma formation after spinal anaesthesia.
- Prolonged or severe post-dural puncture headache warrants thorough investigation for intracranial complications.