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British Journal of Anaesthesia, 2001, Vol. 86, No. 6 893-895
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Cranial subdural haematoma after spinal anaesthesia

R. Acharya1, S. S. Chhabra1, M. Ratra2 and A. D. Sehgal1

1Department of Neurosurgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India. 2Department of Anaesthesiology, Mata Chanan Devi Hospital, New Delhi, India*Corresponding author

Intracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital region. The patient improved without surgical decompression. The pathogenesis of headache and subdural haematoma formation after dural puncture is discussed and the literature briefly reviewed. Severe and prolonged post-dural puncture headache should be regarded as a warning sign of an intracranial complication.

Br J Anaesth 2001; 86: 893–5


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