[Chronic subdural hematoma following spinal anesthesia].

Area of Science:

• Neurology
• Neurosurgery
• Radiology

Background:

• Spinal anesthesia, commonly used for surgery and childbirth, involves lumbar puncture.
• Complications, though rare, can occur and may mimic other neurological conditions.

Observation:

• A 70-year-old patient developed severe, persistent headaches post-lumbar puncture.
• Initial symptoms including hemiparesis and aphasia were misdiagnosed as a stroke.

Findings:

• A chronic subdural hematoma was diagnosed 4 weeks after spinal anesthesia.
• Computerized tomography (CT) is the preferred diagnostic tool, with contrast enhancement aiding in ambiguous cases.
• Surgical evacuation of the hematoma led to patient recovery.

Implications:

• Persistent headaches after lumbar puncture warrant consideration of chronic subdural hematoma, particularly in at-risk groups like the elderly and alcohol consumers.
• While rare, this complication can affect all age groups, including women undergoing anesthesia during childbirth.
• Early recognition and appropriate imaging are vital for timely intervention and favorable outcomes.