alexa Intracranial Subdural Hematoma Following Spinal Anesthe
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

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Case Report

Intracranial Subdural Hematoma Following Spinal Anesthesia in a Pregnant Patient: Case Report and Review of the Literature

Khalid Al-zaben1, Aboud Al Ja’bari1*, Islam Massad1, Walid Zuabi1, Ahmed Tamimi2, Ayman Quatawneh3 and Osama Samara4

1Department of Anesthesia and Intensive Care, Jordan University Hospital, Jordan

2Department of Neurosurgery, Jordan University Hospital, Jordan

3Department of Obstetrics, Jordan University Hospital, Jordan

4Department of Radiology, Jordan University Hospital, Jordan

*Corresponding Author:
Aboud Al Ja’bari
Anesthesia and Intensive Care doctor
Department of Anesthesia and Intensive Care
Jordan University Hospital
Queen Rania Street 11942, Amman, Jordan
Tel: 962795143563
E-mail: [email protected]

Received date: May 28, 2014; Accepted date: August 02, 2014; Published date: August 12, 2014

Citation:Al-zaben K, Ja’bari AA, Massad I, Zuabi W, Tamimi A, et al. (2014) Intracranial Subdural Hematoma Following Spinal Anesthesia in a Pregnant Patient: Case Report and Review of the Literature. J Anesth Clin Res 5:430. doi: 10.4172/2155-6148.1000430

Copyright: ©2014 Al-zaben K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Postdural puncture headache is a well- known complication of spinal anesthesia, but the subsequent development of intracranial subdural hematoma is a serious life–threatening complication which should be urgently treated. We present the case of a 32-year-old pregnant woman who was scheduled for cesarean section. Spinal anesthesia was induced using a 25-gauge Quincke spinal needle. After 48 hours she developed postdural puncture headache which was treated conservatively and she was discharged home. On the 30th day post operatively, the patient developed intracranial subdural hematoma which was surgically evacuated in the operating room and the patient had full recovery. Our report reviews the literature on 49 patients who developed a postdural puncture headache complicated by intracranial subdural hematoma following spinal anesthesia. Careful follow up and good communication between the anesthesiologist, the obstetrician and the neurosurgeon is essential for early diagnosis and management of possible subdural hematoma for patients developing a postdural puncture headache.


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