Journal Information
Vol. 18. Issue 1.
Pages 40-43 (January 2007)
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Vol. 18. Issue 1.
Pages 40-43 (January 2007)
Non-surgical management of intracranial subdural hematoma complicating spinal anesthesia
Manejo no quirúrgico de hematoma subdural intracraneal tras anestesia espinal complicada
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J.F. Martínez-Lage*
* Services of Anesthesiology. Hospital Universitario Virgen de la Arrixaca. Murcia. Spain
M.T. Verdú
, B. Alonso, J.L. Sánchez-Ortega, A. Garcia-Candel
Services of Neurosurgery. Hospital Universitario Virgen de la Arrixaca. Murcia. Spain
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Summary

We report the case of a 29 year-old woman who presented a symptomatic intracranial subdural hematoma developing shortly after spinal anesthesia.

The patient was fully conscious at clinical onset, and thus we treated her conservatively with an epidural autologous blood patch and close neurological observation. Given the clinical improvement the possibility of surgery was discauded in agreement with the neurosurgical team.

Most cases of subdural hematoma appearing after spinal anesthesia are treated with surgery. In the present case the subdural hemorrhage was detected at our hospital 20 days after the anesthetic procedure, and given the excellent state of consciousness, we choosed a conservative management.

Key words:
Complications
Epidural blood patch
Magnetic resonance imaging
Postdural puncture headache
Subdural hematoma
Abreviaturas:
CSF
EBP
PDPH
SDH
Resumen

El hematoma subdural (SDH) es una complicación evolutiva rara, documentada y de riesgo vital en los cuadros de cefalea post punción subdural (PDPH). Presentamos un caso de esta rara complicación resuelto con un parche de sangre autóloga epidural y tratamiento conservador, sin precisar evacuación quirúrgica.

Palabras clave:
Resonancia magnética
Cefalea postural
Hematoma subdural
Complicación
Parche epidural hemático

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