CASE REPORT

Chronic Subdural Hematoma Following Spinal Anesthesia: case report

Hematoma Subdural Crônico Após Raquianestesia: relato de caso

  • Leonardo Galli Hamamoto (1)
  • Flavia de Souza (2)
  • Osmi Hamamoto (3)
  • Ruy Yoshiaki Okaji (3)
  • José Luis Simões Junior (3)
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Resumo

Os autores relatam o caso de uma paciente de 34 anos submetida à raquianestesia para submeter-se a um parto do tipo cesariana e evoluiu com cefaleia do tipo hipotensão liquórica por sete dias e, em seguida, persistiu com cefaleia contínua e diária. Foi submetida à ressonância magnética do encéfalo que evidenciou hematoma subdural subagudo fronto-têmporo-parietal à direita sendo, então, submetida à drenagem cirúrgica com resolução do hematoma. Discute-se a fisiopatologia da formação deste tipo de hematoma e ressalta-se a infrequência desta ocorrência na literatura médica.

Palavras-chave

Hematoma subdural crônico; Anestesia espinal

Abstract

The authors report the case of a 34-year-old female patient who underwent spinal anesthesia for a cesarean delivery and developed CSF hypotension headache for 7 days, presenting, then, persisted continuous daily headache. Submitted to a Brain MRI, it showed subacute subdural hematoma in the right fronto-temporo-parietal area, and was, then, submitted to surgical drainage with total resolution of the hematoma. In this paper, the authors discuss the pathophysiology of the formation of this type of hematoma and emphasize the infrequency of this occurrence in the medical literature.

Keywords

Chronic subdural hematoma; Spinal anesthesia

References

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1 Medical student, Pontifical Catholic University of São Paulo – PUC-SP, São Paulo, SP, Brazil.

2 Medical student, Medicine Course, Centro Universitário de Adamantina – UNIFAI, Adamantina, SP, Brazil.

3 MD, Neurosurgeon, Marilia Medical School – FAMEMA, Marília, SP, Brazil.

 

Received July 4, 2022

Accepted Aug 2, 2022

JBNC  Brazilian Journal of Neurosurgery

  •   ISSN (print version): 0103-5118
  •   e-ISSN (online version): 2446-6786

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