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[Intracranial subdural hematoma during spinal anesthesia].

Abstract
Spinal anesthesia (SA) is frequently used in tropical zones. Intracranial subdural hematoma is an uncommon complication of SA. The purpose of this report was to describe a case of intracranial subdural hematoma observed during SA performed for cesarean section in a 22-year-old women in Senegal. After one month of persistent intense headache, diagnosis was confirmed by computerized tomography. The hematoma was successfully treated by drainage under general anesthesia. Intracranial subdural hematoma has been attributed to cerebrospinal fluid hypotension due to leakage through the dural puncture site. Diagnosis, which may be difficult in Africa, should be suspected in patients with persistent headaches after SA. Confirmation requires computerized tomography of the brain. Prevention of this complication depends on the use of fine beveled-tipped puncture needle which are rarely available in the African setting.
AuthorsR Petrognani, P Hovette, G Barberet, C Badiane, P Camara, P Burgel, X Theobald
JournalMedecine tropicale : revue du Corps de sante colonial (Med Trop (Mars)) Vol. 58 Issue 3 Pg. 271-2 ( 1998) ISSN: 0025-682X [Print] France
Vernacular TitleHematome sous-dural intracranien au decours d'une rachianesthesie.
PMID10088106 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Anesthesia, Spinal (adverse effects)
  • Female
  • Hematoma, Subdural (diagnostic imaging, etiology)
  • Humans
  • Senegal
  • Tomography, X-Ray Computed

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