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2025, Number 1

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Acta Med 2025; 23 (1)

Subdural hematoma secondary to neuraxial anesthesia

Castillo OA, Reyes CAP, Vargas GA
Full text How to cite this article 10.35366/119353

DOI

DOI: 10.35366/119353
URL: https://dx.doi.org/10.35366/119353

Language: Spanish
References: 5
Page: 72-74
PDF size: 200.28 Kb.


Key words:

neuraxial anesthesia, subdural hematoma, postdural puncture headache, photophobia, computed axial tomography.

ABSTRACT

Subdural hematoma secondary to neuraxial anesthesia is a rare but potentially life-threatening complication if not diagnosed and treated promptly. A 37-year-old man underwent neuraxial anesthesia with a 20-gauge needle. Forty-eight hours after the procedure, he presented photophobia, intense headache, nausea, and vomiting, responding to the recumbent position, hydration, and analgesia. The tomography showed the presence of a subdural hematoma. The patient improved without surgical decompression. This case describes a subdural hematoma following neuraxial anesthesia with a fine needle in a patient with no risk factors. Severe headaches and other symptoms should be considered a warning sign of an intracranial complication.


REFERENCES

  1. Plewa MC, McAllister RK. Postdural Puncture Headache. [Updated 2023 Aug 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

  2. Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990-1999. Anesthesiology. 2004; 101 (4): 950-959.

  3. Kale A, Emmez H, Piskin O, Durdag E. Postdural puncture subdural hematoma or postdural puncture headache?: two cases report. Korean J Anesthesiol. 2015; 68 (5): 509-512.

  4. Bekele D, Bayable M, Bedane A. Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report. J Med Case Rep. 2021; 15 (1): 492.

  5. Acharya R, Chhabra SS, Ratra M, Sehgal AD. Cranial subdural haematoma after spinal anaesthesia. Br J Anaesth. 2001; 86 (6): 893-895.




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Acta Med. 2025;23