Intracranial Subdural Hematoma after Spinal Anesthesia: Report of Two Cases with different Outcomes

被引:0
作者
Gago, Guilherme [2 ]
Martins, Otavio Garcia [1 ]
Gobatto, Pedro Luis [2 ]
de Oliveira Costa, Fernando Antonio [3 ]
Santin, Ricardo [2 ]
Magalhaes, Matheus Prado [2 ]
Martini Vial, Antonio Delacy [2 ]
机构
[1] Univ Fed Pelotas, Dept Specialized Med, Av Duque Caxias 250, BR-96030000 Pelotas, RS, Brazil
[2] Santa Casa de Misericordia Porto Alegre, Hosp Sao Jose, Dept Neurosurg, Porto Alegre, RS, Brazil
[3] Univ Fed Sao Paulo, Dept Neurosurg, Sao Paulo, SP, Brazil
来源
BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA | 2019年 / 38卷 / 03期
关键词
subdural hematoma; spinal anesthesia; intracranial bleeding; anesthesia complication; POSTDURAL PUNCTURE HEADACHE; RISK-FACTORS;
D O I
10.1055/s-0039-1692123
中图分类号
R61 [外科手术学];
学科分类号
摘要
Spinal anesthesia is a technique commonly used for local anesthesia and in obstetric surgeries. Rarely, the formation of an intracranial subdural hematoma (SDH) may result from spinal anesthesia, constituting a serious condition that often leads to severe neurological deficits. The presentation and course of this pathology may occur in a completely different way, which makes its diagnosis and management difficult. In the present article, the authors report two cases of patients with intracranial SDH after spinal anesthesia with completely different presentations and outcomes, demonstrating the variability of the manifestations of this condition. A quick review of key points of its pathophysiology, symptomatology, diagnosis, and treatment was also performed.
引用
收藏
页码:215 / 218
页数:4
相关论文
共 12 条
[1]  
Amorim JA, 2007, CEPHALALGIA, V27, P716
[2]  
Amorim JA, 2010, REV BRAS ANESTESIOL, V60, P620, DOI 10.1016/S0034-7094(10)70077-5
[3]   Severe complications associated with epidural and spinal anaesthesias in Finland 1987-1993. A study based on patient insurance claims [J].
Aromaa, U ;
Lahdensuu, M ;
Cozanitis, DA .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1997, 41 (04) :445-452
[4]   Serious complications related to regional anesthesia - Results of a prospective survey in France [J].
Auroy, Y ;
Narchi, P ;
Messiah, A ;
Litt, L ;
Rouvier, B ;
Samii, K .
ANESTHESIOLOGY, 1997, 87 (03) :479-486
[5]  
Bisinotto FMB, 2012, REV BRAS ANESTESIOL, V62, P88, DOI 10.1016/S0034-7094(12)70107-1
[6]   PROSPECTIVE COMPARATIVE-STUDY OF INTERMEDIATE-FIELD MR AND CT IN THE EVALUATION OF CLOSED HEAD TRAUMA [J].
GENTRY, LR ;
GODERSKY, JC ;
THOMPSON, B ;
DUNN, VD .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 150 (03) :673-682
[7]   The dural entrance of cerebral bridging veins into the superior sagittal sinus: an anatomical comparison between cadavers and digital subtraction angiography [J].
Han, Hui ;
Tao, Wei ;
Zhang, Ming .
NEURORADIOLOGY, 2007, 49 (02) :169-175
[8]  
Khraise WN, 2017, LOCAL REG ANESTH, V10, P9, DOI 10.2147/LRA.S129811
[9]   POSTDURAL PUNCTURE HEADACHE (PDPH) - ONSET, DURATION, SEVERITY, AND ASSOCIATED SYMPTOMS - AN ANALYSIS OF 75 CONSECUTIVE PATIENTS WITH PDPH [J].
LYBECKER, H ;
DJERNES, M ;
SCHMIDT, JF .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1995, 39 (05) :605-612
[10]   Operations and re-operations for chronic subdural haematomas during a 25-year period in a well defined population [J].
Mellergard, P ;
Wisten, O .
ACTA NEUROCHIRURGICA, 1996, 138 (06) :708-713