Subarachnoid Hemorrhage Following Spinal Anesthesia: Two Case Reports

Payam Sasan Nejad, Vahide Zamani, Zeinab Ameli, Parisa Ebrahimi
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Abstract

Spinal anesthesia has been performed on patients who undergo cesarean section, for years. A variety of complications are reported which are followed by spinal anesthesia; but subarachnoid hemorrhage is not one of them. In this study, we present two cases of Subarachnoid hemorrhage resulting from spinal anesthesia. In both cases, patients suffered from a thunderclap sudden-onset headache after undergoing cesarean section. Imaging and laboratory investigations were performed in order to determine the reason contributing to the headache, which revealed subarachnoid hemorrhage. After investigation and excluding other underlying causes, normal imaging studies suggested that the occurrence of subarachnoid hemorrhage as a possible complication of spinal anesthesia should be considered.
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脊髓麻醉后蛛网膜下腔出血:两份病例报告
多年来,脊髓麻醉一直用于剖宫产手术的患者。脊髓麻醉后出现多种并发症;但蛛网膜下腔出血不在其中。在本研究中,我们报告了两例由脊髓麻醉引起的蛛网膜下腔出血。在这两个病例中,患者在剖宫产手术后都出现了突然发作的头痛。影像学和实验室检查是为了确定导致头痛的原因,结果显示蛛网膜下腔出血。经调查并排除其他潜在原因后,正常影像学检查提示蛛网膜下腔出血的发生可能是脊髓麻醉的并发症。
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审稿时长
12 weeks
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