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

Abstract

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.