Intracranial subdural haematoma is a rare complication of spinal anaesthesia. This report describes the case of a 31-year-old woman who presented with post partum headache following spinal anaesthesia for caesarean section. Bilateral haematomata were evacuated via burr-holes performed under total intravenous anaesthesia and the patient made a complete and uneventful recovery. The recognized causes of subdural haematoma are discussed.
LaoT.T., HalpernS.H., MacDonaldD., HuhC.Spinal subdural haematoma in a parturient after attempted epidural anaesthesia. Can J Anaesth1993; 40: 340–345.
JackM.Postpartum intracranial subdural haematoma. A possible complication of epidural analgesia. Anaesthesia1979; 34: 176–180.
8.
ReynoldsA.F., SlavinL.Postpartum acute subdural hematoma. A probable complication of saddle block analgesia. Neurosurgery1980; 7: 398–399.
9.
ThonsM., NevelingD., HatzmannW.Intracerebral subdural haematoma after delivery with peridural catheter anesthesia. Z Geburtshilfe Perinatol1993; 197: 235–237.
10.
SchmidtA., NolteH.Subdurale und epidurale hamatome nach ruckenmarknahen Regionalanasthesien (Subdural and epidural haematomas following epidural anesthesia. A literature review). Anaesthetist1992; 41: 276–284.
ArakiC.Pathology of chronic subdural haematoma and hydroma. Proceedings of the 5th International Congress of Neurological Surgery, Tokyo. Amsterdam: Extra Medica Press1973.
13.
AlkferyD.D., MarshM.L., ShapiroH.M.Post-spinal headache or intracranial tumor after obstetric anesthesia. Anesthesiology1979; 51: 92–94.
14.
RahmeE.S., GreenD.Chronic subdural hematoma in adolescence and early adulthood. JAMA1961; 176: 424–426.
15.
NewrickP., ReadD.Subdural haematoma as a complication of spinal anaesthetics. Br Med J1982; 285: 341–342.
16.
CohenJ.E., GodesJ., MoralesB.Postpartum bilateral subdural hematomas following spinal anesthesia: case report. Surg Neurol1997; 47: 6–8.
17.
DefalqueR.J., MusunuruV.S.Diseases of the nervous system. In: StoeltingR.K., DierdorgS.F., eds. Anesthesia and Co-Existing Disease.New York: Churchill Livingstone1988; 302.
18.
RickME., ProteinC., and proteinS.Vitamin K-dependent inhibitors of blood coagulation. J Am Med Assoc; 263: 701–703.
19.
FanS.Z., YehM., TsayW.Caesarean section in a patient with protein S deficiency. Anaesthesia1995; 50: 251–253.
20.
CompP.C., EsmonC.T.Recurrent venous thromboembolism in patients with a partial deficiency of protein. N Engl J Med1984; 331: 1525–1528.
21.
DehringD.J.Deep vein thrombosis and pulmonary embolism. Cur Opin Anesth1991; 4: 61–66.
22.
ParnassS.M., RothenbergD.M., FischerR.L., IvankovichA.D.Spinal anesthesia and mini-dose heparin. J Am Med Assoc1990; 263: 1496.
23.
AyazakiS., FukushirnaH., KainaraK., IshiiS.Chronic subdural hematoma after lumbar subarachnoid analgesia for a cesarean section. Surg Neurol1983; 19: 459–460.