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

IF 0.8 Q3 ANESTHESIOLOGY JA Clinical Reports Pub Date : 2024-10-07 DOI:10.1186/s40981-024-00744-x

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

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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 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.

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剖腹产脊髓麻醉后颅内硬膜外血肿：病例报告。

背景：虽然硬膜下血肿是脊髓麻醉后的罕见并发症，但目前还没有脊髓麻醉下剖宫产术后出现颅内硬膜外血肿的报道：一名 32 岁的无阴道产妇在双胞胎妊娠第 35 周时因第一次宫缩而接受了紧急剖宫产手术。她术前没有任何并发症，脊髓麻醉也很顺利，从 L3/4 椎间隙使用 0.5% 布比卡因 12 毫克和芬太尼 15 微克。脊髓麻醉后 15 分钟，她主诉头痛和恶心，显示术后出现意识障碍。剖宫产术后 2 小时，计算机断层扫描显示她有颅内硬膜外血肿。1 小时后，她接受了开颅减压手术：本病例强调了低风险产科病人可能出现的颅内硬膜外血肿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.