Subdural haematoma following spinal anesthesia for cesarean section
Spinal anestezinin son derece nadir komplikasyonlarından biri intrakraniyal subdural hematomdur. Acil sezaryen planlanan 30 yaşındaki gebeye 25-gauge atravmatik iğne ile spinal anestezi uygulandı. İki gün sonrasında hastanın tipik postspinal baş ağrısı şikayetleri oluştu. Oral analjezikler, sıvı tedavisi ve yatak istirahati tedavisine rağmen nörolojik semptomlar gelişmesi ve baş ağrısının kalıcı hale gelmesi üzerine MR çekilen hastada sol parieatal bölgede 2 cm subdural hematom saptandı. Uzamış baş ağrısı intrakranial subdural hematom açısından uyarıcı bir semptom olarak dikkate alınmalıdır.
Sezaryende spinal anestezi sonrası gelişen subdural hematom
Intracranial subdural haematoma is an exceptionally rare complication of spinal anesthesia. A 30 year old pregnant woman was scheduled for an emergency cesarean section. Spinal anesthesia was induced using a 25-gauge needle with an atraumatic bevel. Two days after spinal anesthesia, the patient complained of a typical post-dural puncture headache. Despite oral analgesic, fluid therapy and bed rest, the headache persisted and neurologic complaints accompanied, a MRI was performed and a 2 cm subdural haematoma in the left parietal region was determined. Prolonged headache should be regarded as a warning sign of intracranial subdural haematoma.
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