Intracranial subdural haematoma following dural puncture accidental: Clinical case

Pontes, R.; Junqueira, Flávia Raquel Rosa; Paiva, M.; Ferreira, Marta; Oliveira, Nélson; Costa, Vânia Medianeira Flores

doi:10.1016/j.redare.2020.05.018

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…However, non-surgical management of intracranial subdural hematoma as a complication of spinal anesthesia has similarly been reported with good outcome in literature [4,9,14,17,18].…”

Section: Managementmentioning

confidence: 99%

“…Pontes et al [4] described a mechanism linking PDPH and intracranial subdural hematoma in which they proposed that leakage of cerebrospinal fluid (CSF) from the dural orifice lessens the intraspinal and intracranial pressure with the resultant alterations causing caudal displacement of the brain and stretching of pain-sensitive structures and emissary veins given that the thinnest parts of the emissary vein walls are found in the subdural space and the thickest in the subarachnoid portion. In tandem to our case, the routine CSF leakage following post-dural puncture which could explain the resultant gravitational pull on the subdural veins with potential tearing and hemorrhage into the subdural space which was later visualized as CSDH on conventional CT scans.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Postpartum chronic subdural hematoma (PCSDH) of non-traumatic origin is a rare but potentially lifethreatening complication in the obstetric population which usually presents with severe headaches [1,2]. Although PCSDH is uncommon, in general, the wide continuum of several neurologic conditions in the obstetric population which present with headaches range from normal postpartum headache, tension headache, and caffeine withdrawal, to serious conditions such as preeclampsia, posterior reversible encephalopathy, cortical vein thrombosis [3], undiagnosed Chiari malformation, and meningitis often resemble PCSDH and make initial diagnosis a clinical challenge [4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature

Mujuni

Njau

Kenemo

et al. 2022

J Case Rep Images Obstet Gynecol

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Introduction: Postpartum chronic subdural hematoma (PCSDH) of non-traumatic origin is a rare but potentially life-threatening complication in the obstetric population which usually presents with severe headache. Case Report: We describe timely diagnosis and surgical management of a 27-year-old female patient with bilateral chronic subdural hematoma of non-traumatic origin in the post-postpartum period for which surgical management was employed following irresponsive conservative management. Conclusion: The suspicion of chronic subdural hematoma should be considered in any patient complaining of severe persistent headache following spinal anesthesia in the postpartum period and requires prompt neuroimaging for timely identification. Surgical management following irresponsive conservative management in selected patients can be achieved with satisfactory outcomes.

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“…However, non-surgical management of intracranial subdural hematoma as a complication of spinal anesthesia has similarly been reported with good outcome in literature [4,9,14,17,18].…”

Section: Managementmentioning

confidence: 99%

Section: Pathophysiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature

Mujuni

Njau

Kenemo

et al. 2022

J Case Rep Images Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Postpartum related chronic subdural hematoma (PCSDH) and renal aneurysm having a non traumatic origin are rarely observed in obstetrics with a 1 in 300 risk and 1 in 1000 risk respectively with neurological life-threatening complication which is presented with severe headache 4,5 . In cases where the condition is left undiagnosed, the reason might be Chiari malformation, or even meningitis which may resemble postpartum related chronic subdural hematoma making the primary diagnosis difficult 6 .…”

Section: Introductionmentioning

confidence: 99%

Peripartum Neurological Injuries and its Outcomes

Jamali,

Ramejo

et al. 2023

PJMHS

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Aim: To study the peri-partum neurological injury and its outcomes. Study Design: Cross sectional study Place and duration of study: Department of Neurosurgery & Department of Obstetrics & Gynaecology, Peoples Medical University Hospital, Nawabshah from 1st July 2022 to 30th June 2023. Methodology: Two hundred and fifty women having a high risk of neurological disorders were included. A high-risk pregnancy was defined with the one having increased threat to fetal morbidity as well as risk of disability presented through clinical symptoms of each case. Biochemical analysis using 5cc blood was conducted for testing positive free beta human-chorionic-gonadotropin in addition to neurological assessment and Doppler ultrasound. A well-designed questionnaire was adapted for extracting information regarding gravidity, parity, gestational hypertension and diabetes, complete clinical history including neurological symptoms, mortality rate mode of delivery and foetal disorders through modifying-ranking-scale of mother. Results: The mean age, gravidity and parity of the study participants was 29.33±1.2, 2.2±1.7 and 2.1±2.0 respectively. Significant number of neurological disorders was observed in before and after pregnancy. Majority of the participants were underwent C-section (62%). Highest ratio of full-term births were reported followed by preterm and abortion. There were 20% those cases who received severe headache post delivery time, on clinical diagnosis out of those 20% cases there were 3% those having subdural hematoma formation. Congenital disorders were observed in only 1 neonate. Obstetric and neurological profile of each patient with each neurological condition was also assessed. Conclusion: The neurological conditions were frequently reported during pregnancy. Seizures, migraine, cerebral venous and intracranial hypertension and sinus thrombosis were reported by majority of the study participants. Keywords: Neurology, Anesthesia, Pregnancy, Neuropathy

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Intracranial subdural haematoma following dural puncture accidental: Clinical case

Cited by 2 publications

References 6 publications

Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature

Bilateral chronic subdural hematoma in postpartum period: Case report and review of literature

Peripartum Neurological Injuries and its Outcomes

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