Author/Authors :
Krishnakumar, K Sree Chitra Tirunal Institute for Medical Sciences and Technology - Department of Neurosurgery, India , Chatterjee, Nilay Sree Chitra Tirunal Institute for Medical Sciences and Technology - Department of Neuroanesthesiology, India , Shrivastava, Adesh Sree Chitra Tirunal Institute for Medical Sciences and Technology - Department of Neurosurgery, India , Davis, Josemine Sree Chitra Tirunal Institute for Medical Sciences and Technology - Department of Neuroanesthesiology, India , N, Suresh Nair Sree Chitra Tirunal Institute for Medical Sciences and Technology - Department of Neurosurgery, India
Abstract :
The appearance of a subdural hematoma (SDH) following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified. Patients with post-dural puncture headache (PDPH) non-responsive to conservative measures and/or those patients with a change of the character of the headache should be considered seriously. In symptomatic patients, evacuation of SDH is essential but epidural blood patch should be strongly considered as it can prevent reappearance of SDH by sealing the dural defect.
Keywords :
Spinal anesthesia , Post dural puncture headache , subdural hematoma , epidural blood patch
