East and Central African Journal of Surgery

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Chronic subdural haematoma complicating spinal anaesthesia: A case report and review of literature

J.C. Byiringiro, M Perez, C Serrano, D.H. Kagabo, T Twagirumugabe, P Kyamanywa


Subdural haematoma is a rare but serious complication of dural puncture. We report a case of chronic subdural haematoma, which occurred following spinal anaesthesia for elective caesarean section. A 34-year-old multiparous woman presented with a post-dural puncture headache (PDPH) following spinal anaesthesia. The headache was nonresponsive to analgesics, bed rest and rehydration. CT-scan was done and showed a large right fronto-parietal subdural hematoma. This was drained successfully with complete recovery. Prolonged and severe post-dural puncture headache may be the only clinical indicator of post-spinal anaesthesia intracranial complications, and should be promptly investigated.

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