Hiroshi Nagasaka, Yuta Horikoshi, Tina Nakamura, Hiroshi Hoshijima, Noritaka Imamachi, Katsushi Doi, Tsutomu Mieda
{"title":"Intracranial epidural hematoma after spinal anesthesia for cesarean section: a case report.","authors":"Hiroshi Nagasaka, Yuta Horikoshi, Tina Nakamura, Hiroshi Hoshijima, Noritaka Imamachi, Katsushi Doi, Tsutomu Mieda","doi":"10.1186/s40981-024-00744-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although subdural hematoma is a rare complication after spinal anesthesia, there have been no reports of an intracranial epidural hematoma after cesarean section with spinal anesthesia.</p><p><strong>Case presentation: </strong>A 32-year-old nulliparous woman at the 35<sup>th</sup> week of a twin pregnancy underwent an emergency cesarean section due to her first contraction. She had no preoperative complications and the spinal anesthesia was uneventful, with 0.5% bupivacaine 12 mg and fentanyl 15 µg from the L3/4 intervertebral space. She complained of headache and nausea 15 min after spinal anesthesia, demonstrating a consciousness disturbance after surgery. Computed tomography 2 h after the cesarean section revealed an intracranial epidural hematoma. She underwent decompressive craniotomy 1 h later.</p><p><strong>Conclusion: </strong>This case highlights the possible development of an intracranial epidural hematoma in low-risk obstetric patients.</p>","PeriodicalId":0,"journal":{"name":"","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458865/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40981-024-00744-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Although subdural hematoma is a rare complication after spinal anesthesia, there have been no reports of an intracranial epidural hematoma after cesarean section with spinal anesthesia.
Case presentation: A 32-year-old nulliparous woman at the 35th week of a twin pregnancy underwent an emergency cesarean section due to her first contraction. She had no preoperative complications and the spinal anesthesia was uneventful, with 0.5% bupivacaine 12 mg and fentanyl 15 µg from the L3/4 intervertebral space. She complained of headache and nausea 15 min after spinal anesthesia, demonstrating a consciousness disturbance after surgery. Computed tomography 2 h after the cesarean section revealed an intracranial epidural hematoma. She underwent decompressive craniotomy 1 h later.
Conclusion: This case highlights the possible development of an intracranial epidural hematoma in low-risk obstetric patients.
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