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Intracranial subdural hematoma after spinal anesthesia in a parturient
1From the Joan C. Edwards School of Medicine, Huntington, West Virginia.
Background:
: An intracranial subdural hematoma is a rare and potentially fatal complication of spinal anesthesia.
Case:
: A gravida 2, para 1 underwent a repeat cesarean for transverse fetal lie. Four hours postoperatively she developed a severe headache with acute nausea and vomiting. Computed tomography scan revealed a 6-mm right subdural hematoma and midline shift of ventricles. She underwent a right frontal craniotomy with evacuation of the hematoma and eventually had a complete recovery.
Conclusion:
: Headache and atypical neurologic signs presenting after spinal anesthesia should prompt rapid evaluation for intracranial hemorrhage.
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