[Postpartum chronic subdural hematoma following spinal anesthesia: case report]. 2010

Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
Department of Neurosurgery, Soka Municipal Hospital.

Chronic subdural hematoma is a rare complication of epidural anesthesia. This report describes the case of a 34-year-old woman who presented with postpartum headache after she received epidural anesthesia for labor pain. The anesthesiologist's record did not show any anesthesia-related complication. Two days after the delivery (on day 2), the patient complained of headache. Postdural puncture headache was diagnosed, so she was administered analgesics, hydration therapy, and bed rest. On day 4, she reported a slight improvement and was discharged. The postural headache persisted even on day 7 after delivery. During the conservative treatment, she had suffered a mild head trauma. On day 13, she started to feel a non-postural and severe throbbing headache. On day 24, she was referred to our department. Bilateral chronic subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course. Right chronic subdural hematoma was managed by conservative treatment, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have received epidural anesthesia present with mild to severe, persistent, and non-postural headache.

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011644 Puerperal Disorders Disorders or diseases associated with PUERPERIUM, the six-to-eight-week period immediately after PARTURITION in humans. Disorder, Puerperal,Disorders, Puerperal,Puerperal Disorder
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000767 Anesthesia, Epidural Procedure in which an anesthetic is injected into the epidural space. Anesthesia, Extradural,Anesthesia, Peridural,Epidural Anesthesia,Anesthesias, Epidural,Anesthesias, Extradural,Anesthesias, Peridural,Epidural Anesthesias,Extradural Anesthesia,Extradural Anesthesias,Peridural Anesthesia,Peridural Anesthesias
D000773 Anesthesia, Obstetrical A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth. Anesthesia, Gynecological,Anesthesia, Obstetric,Gynecologic Anesthesia,Paracervical Block,Anesthesia, Gynecologic,Block, Paracervical,Blocks, Paracervical,Gynecological Anesthesia,Obstetric Anesthesia,Obstetrical Anesthesia,Paracervical Blocks
D020200 Hematoma, Subdural, Chronic Accumulation of blood in the SUBDURAL SPACE with delayed onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status. Hemorrhage, Subdural, Chronic,Subdural Hematoma, Chronic,Chronic Subdural Hematoma,Chronic Subdural Hematomas,Hematoma, Chronic Subdural,Hematomas, Chronic Subdural,Subdural Hematomas, Chronic

Related Publications

Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
July 1993, Journal of the Formosan Medical Association = Taiwan yi zhi,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
March 1989, Regional-Anaesthesie,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
April 2021, BMC anesthesiology,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
January 1997, Surgical neurology,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
February 1990, Anesthesiology,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
July 1959, A.M.A. archives of surgery,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
January 2012, Revista brasileira de anestesiologia,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
September 2017, Journal of experimental therapeutics & oncology,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
March 2004, Surgical neurology,
Mutsumi Fujii, and Toshinari Arai, and Yoshiyuki Matsuoka, and Jun Karakama, and Takashi Morimoto, and Kikuo Ohno
June 2017, Turkish journal of emergency medicine,
Copied contents to your clipboard!