Intracranial epidural hematoma after spinal anesthesia for cesarean section: a case report

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2024年10月7日

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Hiroshi Nagasaka,
Yuta Horikoshi,
Tina Nakamura,
Hiroshi Hoshijima,
Noritaka Imamachi,
Katsushi Doi,
Tsutomu Mieda

摘要

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 35^th 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.