How to treat repeated subdural hematomas after lumbar puncture?

Edvin Zekaj; Christian Saleh; Marina Minichiello; Paolo Perazzo; Domenico Servello

doi:10.4103/ajns.AJNS_263_17

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 249-252
DOI: 10.4103/ajns.AJNS_263_17

Case Report

How to treat repeated subdural hematomas after lumbar puncture?

Edvin Zekaj

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan

,

Christian Saleh

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan

,

Marina Minichiello

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan

,

Paolo Perazzo

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan

,

Domenico Servello

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan

› Author Affiliations

Abstract

Serious complications following spinal anesthesia (SA) are rare. However, surgeons and neurologist need to be aware that postsurgery headache refractory to conservative treatment or change in headache's characteristics could be due to serious intracranial complications such as a subdural hematoma. Any delay in diagnosis and treatment can be fatal. We report and discuss a case of a patient who suffered repeated subdural bleeds following SA.

Key-words:

Complications - postural puncture headache - spinal anesthesia - subdural hematoma

Full Text

References

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