Intracranial Chronic Subdural Hematoma Occurring Six Months After Spinal Anaesthesia: A Case Report

Spinal Anesteziden Altı ay Sonra Oluşan İntrakranial Kronik Subdural Hematom: Olgu Sunumu

Özet

İntrakranial kronik subdural hematomlar spinal anestezinin nadir görülen komplikasyonudur.Bu yazıda spinal anestezi ile ve sezaryenle doğum yapan 32 yaşındaki bir bayanda doğumdan6 ay sonra gelişen bir cSDH olgusu sunuluyor. Hasta doğumdan altı ay sonra hastaneyekonservatif tedavilere yanıt vermeyen başağrısı yakınması ile başvurdu. Nörolojik muayenesinormal idi.BBT ve MRG de sol frontoparietalde, sağa şift yapan belirgin subdural hematomsaptandı.Travma öyküsü yoktu. Koagulasyon testleri ve MRG- angio normal idi.Hasta burr- hole kraniostomi ve kapalı drenaj ile tedavi edildi.

Abstract

Intracranial subdural hematomas are rare complications of spinal anesthesia. This paper is acase report of a chronic subdural hematoma (cSDH) developing in a 32-year-old female sixmonths after giving birth by cesarean section using spinal anesthesia. The patient came to thehospital six months after giving birth, complaining of a headache that did not respond toconservative treatments. Her neurological examination was normal. In the computedtomography (CT) and magnetic resonance imaging (MRI) on the left frontoparietal that wereperformed a prominent subdural hematoma shifting to the right was found. There was nohistory of trauma. The coagulation tests and MR-angiogram were normal. The patient wastreated with burr-hole craniotomy and closed drainage.