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POSTSPINAL INTRACRANIAL SUBDURAL HEMATOMA AND CEREBRAL SINUS THROMBOSIS: REPORT OF A CASE

Year 2013, Volume: 3 Issue: 2, 116 - 120, 01.06.2013

Abstract

Cerebral venous thrombosis is a rare but a serious complication of spinal anesthesia. It usually occurs in the presence of predisposing factors such as pregnancy, puerperium, use of oral contraceptive drugs, malignancies, thrombocytopenia and the most frequent symptom is headache. Twenty-two years of age, pregnant woman had a complaint of headache after spinal anesthesia for caesarean section and diagnosed as post-dural puncture headache, the treatment was begun. After detecting responsiveness to treatment, radiological imaging procedures were performed and subdural hematoma and transverse sinus thrombosis were detected. In this case report, it was concluded under current literatures that the subdural hematoma and transverse sinus thrombosis should be kept in mind during the diagnosis of post-dural puncture headache.

References

  • Gaiser R. Postdural puncture headache. Curr Opin Anaesthesiol 2006; 19(3): 249-53. Ghaleb A. Postural Puncture Headache.
  • Anesthesiol Res Pract 2010; doi: 1155/2010/102967. Reynolds F. Dural puncture and headache. Br
  • Med J 1993; 306(6882): 874-6. Leibold RA, Yealy DM, Coppola M, Cantees
  • KK. Post-dural puncture headache: characteristics, management, and prevention. Ann Emerg Med 1993; 22(12): 1863-70. Stocks GM, Wooller DJ, Young JM, Fernando
  • R. Postpartum headache after epidural blood patch: investigation and diagnosis. Br J Anaesth 2000; 84(3): 407-10. Milhaud D, Heroum C, Charif M, Saulnier P, Pages M, Blard JM. Dural puncture and corticotherapy as risks factors for cerebral venous sinus thrombosis. Eur J Neurol 2000; 7(1): 123-4. Lockhart EM, Baysinger CL. Intracranial venous thrombosis in the parturient. Anesthesiology 2007; 107(4) :652-8. D. K. Turnbull, D. B. Shepherd. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anesth 2003; 91(5): 718-29. Schmittner MD, Terboven T, Dluzak M et al.
  • High incidence of post-dural puncture headache in patients with spinal saddle block induced with Quincke needles for anorectal surgery: a randomised clinical trial. Int J Colorectal Dis 2010; 25(6): 775–
  • Acharya R, Chhabra SS, Ratra M, Sehgal AD. Cranial subdural haematoma after spinal anesthesia. Br J Anesth 2001; 86(6): 893-5. Bisinotto F, Dezena RA, Fabri DC, Abud
  • TMV, Canno LH. Intracranial subdural hematoma: a rare complication following spinal anesthesia: Case report. Rev Bras Anestesiol 2012; 62 (1): 88-95. Kimber J. Cerebral venous thrombosis. Q J
  • Med 2002; 95(3): 137- 42. Wilder-Smith E, Kothbauer-Margreiter I, Lammle B, Sturzenegger M, Ozdoba C, Hauser SP.
  • Dural puncture and activated protein C resistance: Risk factors for cerebral venous sinus thrombosis. J Neurol Neurosurg Psychiatry 1997; 63(3): 351–6. Ferro JM, Canhao P, Stam J. Prognosis of cerebral vein and dural sinüs thrombosis: Result of the international study on cerebral vein and dural sinüs thrombosis. Stroke 2004; 35(3): 664-70.
  • Lanska DJ, Kryscio RJ. Risk Factors for Peripartum and Postpartum Stroke and Intracranial Venous Thrombosis. Stroke 2000; 31(6): 1274-82.
  • Stolz E, Rahimi A, Gerriets T et al. Cerebral venous thrombosis: an all or nothing disease? Prognostic factors and long-term outcome. Clin Neurol Neurosurg 2005; 107(2): 99-107.
  • Kamışlı E, Arslan D, Altınayar S et al. Serebral Venöz Sinüs Trombozu: Klinik Değerlendirme. Turk Serebrovaskuler Hast. Derg 2009; 15(2): 39-42.
  • Allroggen H, Abbott RJ. Cerebral venous sinus thrombosis. Postgrad Med J 2000; 76(891): 12

POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU

Year 2013, Volume: 3 Issue: 2, 116 - 120, 01.06.2013

Abstract

Serebral ven trombozu, spinal anestezinin nadir ancak ciddi bir komplikasyonudur. Çoğunlukla gebelik, lohusalık, oral kontraseptif kullanımı, maligniteler ve trombositopeni gibi predispozan faktörlerin varlığında ortaya çıkmaktadır ve en sık semptom başağrısıdır. Yirmiiki yaşında gebe hastanın, spinal anestezi altında sezeryan operasyonu sonrası başağrısı yakınması oldu ve dura delinmesi sonrası başağrısı tanısı ile tedaviye başlandı. Tedaviye yanıt alınamaması üzerine radyolojik görüntüleme tetkikleri uygulandı ve sonuç olarak subdural hematom ve transvers sinus trombozu saptandı. Bu olgu sunumunda, anestezistlerin, spinal anestezi sonrası dura delinmesi sonrası başağrısı tanısı koyarken, ciddi bir durum olan subdural hematom ve serebral ven trombozunu da akılda tutmaları gerektiği güncel literatürler eşliğinde incelenerek bildirilmiştir.

References

  • Gaiser R. Postdural puncture headache. Curr Opin Anaesthesiol 2006; 19(3): 249-53. Ghaleb A. Postural Puncture Headache.
  • Anesthesiol Res Pract 2010; doi: 1155/2010/102967. Reynolds F. Dural puncture and headache. Br
  • Med J 1993; 306(6882): 874-6. Leibold RA, Yealy DM, Coppola M, Cantees
  • KK. Post-dural puncture headache: characteristics, management, and prevention. Ann Emerg Med 1993; 22(12): 1863-70. Stocks GM, Wooller DJ, Young JM, Fernando
  • R. Postpartum headache after epidural blood patch: investigation and diagnosis. Br J Anaesth 2000; 84(3): 407-10. Milhaud D, Heroum C, Charif M, Saulnier P, Pages M, Blard JM. Dural puncture and corticotherapy as risks factors for cerebral venous sinus thrombosis. Eur J Neurol 2000; 7(1): 123-4. Lockhart EM, Baysinger CL. Intracranial venous thrombosis in the parturient. Anesthesiology 2007; 107(4) :652-8. D. K. Turnbull, D. B. Shepherd. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anesth 2003; 91(5): 718-29. Schmittner MD, Terboven T, Dluzak M et al.
  • High incidence of post-dural puncture headache in patients with spinal saddle block induced with Quincke needles for anorectal surgery: a randomised clinical trial. Int J Colorectal Dis 2010; 25(6): 775–
  • Acharya R, Chhabra SS, Ratra M, Sehgal AD. Cranial subdural haematoma after spinal anesthesia. Br J Anesth 2001; 86(6): 893-5. Bisinotto F, Dezena RA, Fabri DC, Abud
  • TMV, Canno LH. Intracranial subdural hematoma: a rare complication following spinal anesthesia: Case report. Rev Bras Anestesiol 2012; 62 (1): 88-95. Kimber J. Cerebral venous thrombosis. Q J
  • Med 2002; 95(3): 137- 42. Wilder-Smith E, Kothbauer-Margreiter I, Lammle B, Sturzenegger M, Ozdoba C, Hauser SP.
  • Dural puncture and activated protein C resistance: Risk factors for cerebral venous sinus thrombosis. J Neurol Neurosurg Psychiatry 1997; 63(3): 351–6. Ferro JM, Canhao P, Stam J. Prognosis of cerebral vein and dural sinüs thrombosis: Result of the international study on cerebral vein and dural sinüs thrombosis. Stroke 2004; 35(3): 664-70.
  • Lanska DJ, Kryscio RJ. Risk Factors for Peripartum and Postpartum Stroke and Intracranial Venous Thrombosis. Stroke 2000; 31(6): 1274-82.
  • Stolz E, Rahimi A, Gerriets T et al. Cerebral venous thrombosis: an all or nothing disease? Prognostic factors and long-term outcome. Clin Neurol Neurosurg 2005; 107(2): 99-107.
  • Kamışlı E, Arslan D, Altınayar S et al. Serebral Venöz Sinüs Trombozu: Klinik Değerlendirme. Turk Serebrovaskuler Hast. Derg 2009; 15(2): 39-42.
  • Allroggen H, Abbott RJ. Cerebral venous sinus thrombosis. Postgrad Med J 2000; 76(891): 12
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ali İhsan Uysal This is me

Tuğba Karaman This is me

Aynur Şahin This is me

Ferda Yılmaz İnal This is me

Publication Date June 1, 2013
Published in Issue Year 2013 Volume: 3 Issue: 2

Cite

APA Uysal, A. İ., Karaman, T., Şahin, A., İnal, F. Y. (2013). POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU. Çağdaş Tıp Dergisi, 3(2), 116-120.
AMA Uysal Aİ, Karaman T, Şahin A, İnal FY. POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU. J Contemp Med. June 2013;3(2):116-120.
Chicago Uysal, Ali İhsan, Tuğba Karaman, Aynur Şahin, and Ferda Yılmaz İnal. “POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU”. Çağdaş Tıp Dergisi 3, no. 2 (June 2013): 116-20.
EndNote Uysal Aİ, Karaman T, Şahin A, İnal FY (June 1, 2013) POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU. Çağdaş Tıp Dergisi 3 2 116–120.
IEEE A. İ. Uysal, T. Karaman, A. Şahin, and F. Y. İnal, “POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU”, J Contemp Med, vol. 3, no. 2, pp. 116–120, 2013.
ISNAD Uysal, Ali İhsan et al. “POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU”. Çağdaş Tıp Dergisi 3/2 (June 2013), 116-120.
JAMA Uysal Aİ, Karaman T, Şahin A, İnal FY. POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU. J Contemp Med. 2013;3:116–120.
MLA Uysal, Ali İhsan et al. “POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU”. Çağdaş Tıp Dergisi, vol. 3, no. 2, 2013, pp. 116-20.
Vancouver Uysal Aİ, Karaman T, Şahin A, İnal FY. POSTSPİNAL İNTRAKRANİYAL SUBDURAL HEMATOM VE SEREBRAL SİNUS TROMBOZU : OLGU SUNUMU. J Contemp Med. 2013;3(2):116-20.