Fatal Acute Intracranial Subdural Hematoma After Spinal Anesthesia for Cesarean Delivery Case Report and Review of the Literature

被引：10

作者：

Gioia, Sara ^{[1
]}

Mirtella, Dora ^{[2
]}

Lancia, Massimo ^{[3
]}

Suadoni, Fabio ^{[4
]}

Cingolani, Mariano ^{[2
]}

机构：

[1] Univ Macerata, Sch PhD, Macerata, Italy

[2] Univ Macerata, Sect Legal Med, Macerata, Italy

[3] Univ Perugia, Sect Legal Med, Perugia, Italy

[4] Univ Perugia, Sect Legal Med, Terni, Italy

来源：

AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY | 2019年 / 40卷 / 04期

关键词：

postdural puncture headache; spinal anesthesia; subdural hematoma; DURAL PUNCTURE; POSTPARTUM HEADACHE; COMPLICATIONS;

D O I：

10.1097/PAF.0000000000000505

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

The authors report on the autopsy case of a 40-year-old primigravida without either coagulation disorders or anticoagulant/antiplatelet therapy, who developed a fatal intracranial subdural hematoma after spinal anesthesia (SA) for elective cesarean delivery for tocophobia. Intracranial subdural hematoma is the most dreaded complication of SA and is often misdiagnosed with postdural puncture headache. In this article, the authors discuss pathophysiological mechanisms and risk factors for the development of an intracranial subdural hematoma after SA and review the pertinent literature.

引用

页码：381 / 385

页数：5

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