Intracranial subdural hematoma: a rare but serious complication following neuraxial anesthesia in obstetric anesthesia

IF 0.2 Q4 ANESTHESIOLOGY Anaesthesia, Pain & Intensive Care Pub Date : 2021-12-19 DOI:10.35975/apic.v25i6.1719

Taizoon Q Dhoon, Jasmin Joshi, D. Portnoy, Govind C. Rajan

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Abstract

Intracranial subdural hematoma (SDH) formation is an uncommon but serious complication of planned or unintentional dural puncture (DP) during straight epidural anesthesia, combined spinal-epidural, dural puncture epidural, or spinal anesthesia. Diagnosis of intracranial SDH following neuraxial anesthesia may be delayed or misdiagnosed due to rare occurrence, lack of knowledge, as well as an overlap in clinical presentation with postdural puncture headache (PDPH). Increased awareness of intracranial SDH as a complication of DP may result in earlier recognition and prevention of potentially devastating outcomes. This article reviews the relevant literature on association of neuraxial anesthesia with intracranial SDH formation. Key words: Intracranial subdural hematoma; Anesthesia, Neuraxial; Anesthesia, Epidural; Combined spinal-epidural; Dural puncture; Anesthesia, spinal; Pregnancy; Postdural puncture headache Citation: Dhoon TQ, Joshi J, Portnoy D, Rajan GC. Intracranial subdural hematoma: a rare but serious complication following neuraxial anesthesia in obstetric anesthesia. Anaesth. pain intensive care 2021;25(6):828-831: DOI: 10.35975/apic.v25i6.1719 Received: August 4, 2021, Reviewed: September 2, 2021, Accepted: October 3, 2021

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颅内硬膜下血肿:产科麻轴麻醉后罕见但严重的并发症

颅内硬膜下血肿(SDH)的形成是在硬膜外麻醉、脊髓-硬膜外联合麻醉、硬膜外穿刺或脊髓麻醉中，计划或无意硬膜穿刺(DP)的一种罕见但严重的并发症。神经轴麻醉后颅内SDH的诊断可能由于罕见、缺乏知识以及与硬脊膜后穿刺性头痛(PDPH)的临床表现重叠而延误或误诊。提高对颅内SDH作为DP并发症的认识可能会导致早期识别和预防潜在的破坏性后果。本文综述了神经轴向麻醉与颅内SDH形成的相关文献。关键词:颅内硬膜下血肿;麻醉,轴索的;硬膜外麻醉;结合spinal-epidural;硬脑膜的穿刺;脊髓麻醉;怀孕;引用本文:Dhoon TQ, Joshi J, Portnoy D, Rajan GC。颅内硬膜下血肿:产科麻轴麻醉后罕见但严重的并发症。Anaesth。疼痛重症监护2021;25(6):828-831:DOI: 10.35975/apic.v25i6.1719收稿日期:2021年8月4日，审稿日期:2021年9月2日，接收日期:2021年10月3日

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