Intracranial epidural hematoma after spinal anesthesia for cesarean section: a case report
Hiroshi Nagasaka1, Yuta Horikoshi2, Tina Nakamura2
1Department of Anesthesiology, Saitama Medical University Hospital, 38 Morohongo, Moroyamacho, Irumagun, Saitama, 350-0495, Japan. hnagasak2000@gmail.com.
Background:
Although subdural hematoma is a rare complication after spinal anesthesia, there have been no reports of an intracranial epidural hematoma after cesarean section with spinal anesthesia.
Case Presentation:
A 32-year-old nulliparous woman at the 35th week of a twin pregnancy underwent an emergency cesarean section due to her first contraction. She had no preoperative complications and the spinal anesthesia was uneventful, with 0.5% bupivacaine 12 mg and fentanyl 15 µg from the L3/4 intervertebral space. She complained of headache and nausea 15 min after spinal anesthesia, demonstrating a consciousness disturbance after surgery. Computed tomography 2 h after the cesarean section revealed an intracranial epidural hematoma. She underwent decompressive craniotomy 1 h later.
Conclusion:
This case highlights the possible development of an intracranial epidural hematoma in low-risk obstetric patients.
