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Spinal Anestezi Sonrası Gelişen Bilateral İntrakranial Subdural Hematom: Olgu Sunumu

Year 2013, Volume: 4 Issue: 4, 164 - 166, 01.10.2013

Abstract

Spinal anestezi sonrası gelişen intrakranyal subdural hematom,
seyrek rastlanan ve gerekli tedavisi yapılmadığı takdirde öldürücü olabilen ciddi bir komplikasyondur. Ponksiyon sonrası gelişen
dural zedelenme nedeniyle meydana gelen beyin omurilik sıvısı
(BOS) sızıntısı, meningiyal damarlarda yırtılmaya ve böylece kanamaya yol açmaktadır. Bu yazıda spinal anestezi sonrası bilateral
intrakranial subdural hematom gelişen bir vaka sunulmaktadır.
Spinal anestezi yapılan vakalarda medikal tedaviye rağmen devam eden baş ağrısında subdural hematom akılda tutulmalıdır.

References

  • Azzarelli B. Neuropathology of the central nervous system: Trauma, Ce- rebrovascular Disease, Infections, Demyelinating, Neurodegenerative, Nutritional and Metabolic Disorders. H.Hunt Batjer – Christopher M. Loftus (ed), Textbook of neurological surgery, cilt 1, Philadelphia: Lip- pincott Williams & Wilkins, 2003: 207-33.
  • Pavlin DJ, McDonald JS, Child B. Acute subdural hematoma: an unusual sequela to lumbar puncture. Anesthesiology 1979; 51: 338-40. [CrossRef]
  • Slowinski J, Szydlik W, Sanetra A, Kaminska I, Mrowka R. Bilateral chronic subdural hematomas with neurologic symptoms complicating spinal anesthesia. Reg Anesth Pain Med 2003; 28: 347-50. [CrossRef]
  • Kelsaka E, Sarihasan B, Baris S, Tur A. Subdural hematoma as a late complica- tion of spinal anesthesia. J Neurosurg Anesthesiol 2003; 15: 47-9. [CrossRef]
  • Yıldırım B, Çolakoğlu S, Atakan TY, Büyükkirli H. Intracranial subdural hemato- ma after spinal anesthesia. Int J Obstet Anesth 2005; 14: 159-62. [CrossRef]
  • Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogene- sis, prevention and treatment. Br J Anaesth 2003; 91: 718-29. [CrossRef]
  • Işık B, Yiğit N, Kordan AZ, Kardeş Ö, Özköse Z. Postspinal bilateral int- rakranyal subdural hematom (olgu sunumu) Marmara Medical Journal 2005; 18: 135-9.
  • Saha D, Saika S, Bhattacharya D, Joseph T, Mukherjee P: Chronic subdu- ral hematoma following spinal anesthesia a case report. Indian J Anesth 2004; 13: 312-48.
  • Suess O, Stendel R, Baur S, A. Schilling, M. Brock: Intracranial hemorrha- ge following lumbar myelography. Case report and rewiev of the litera- ture. Neuroradiology 2000; 14: 211-42. [CrossRef]
  • Vaughan DJ, Stirrup CA, Robinson PN. Cranial subdural haematoma as- sociated with dural puncture in labour. Br J Anaesth 2000; 20: 518-84. [CrossRef]

Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report

Year 2013, Volume: 4 Issue: 4, 164 - 166, 01.10.2013

Abstract

Intracranial subdural haematoma occurring after spinal anaesthesia is very uncommon but is a serious complication that can be fatal if treatment is not administered. Cerebrospinal fluid (CSF) leakage originating from a dural puncture may cause haemorrage by dehiscence of the meningeal vessels. In this article, a case of a subdural haematoma following spinal anaesthesia is presented. Subdural bleeding should be considered in cases of a headache occurring after spinal anaesthesia

References

  • Azzarelli B. Neuropathology of the central nervous system: Trauma, Ce- rebrovascular Disease, Infections, Demyelinating, Neurodegenerative, Nutritional and Metabolic Disorders. H.Hunt Batjer – Christopher M. Loftus (ed), Textbook of neurological surgery, cilt 1, Philadelphia: Lip- pincott Williams & Wilkins, 2003: 207-33.
  • Pavlin DJ, McDonald JS, Child B. Acute subdural hematoma: an unusual sequela to lumbar puncture. Anesthesiology 1979; 51: 338-40. [CrossRef]
  • Slowinski J, Szydlik W, Sanetra A, Kaminska I, Mrowka R. Bilateral chronic subdural hematomas with neurologic symptoms complicating spinal anesthesia. Reg Anesth Pain Med 2003; 28: 347-50. [CrossRef]
  • Kelsaka E, Sarihasan B, Baris S, Tur A. Subdural hematoma as a late complica- tion of spinal anesthesia. J Neurosurg Anesthesiol 2003; 15: 47-9. [CrossRef]
  • Yıldırım B, Çolakoğlu S, Atakan TY, Büyükkirli H. Intracranial subdural hemato- ma after spinal anesthesia. Int J Obstet Anesth 2005; 14: 159-62. [CrossRef]
  • Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogene- sis, prevention and treatment. Br J Anaesth 2003; 91: 718-29. [CrossRef]
  • Işık B, Yiğit N, Kordan AZ, Kardeş Ö, Özköse Z. Postspinal bilateral int- rakranyal subdural hematom (olgu sunumu) Marmara Medical Journal 2005; 18: 135-9.
  • Saha D, Saika S, Bhattacharya D, Joseph T, Mukherjee P: Chronic subdu- ral hematoma following spinal anesthesia a case report. Indian J Anesth 2004; 13: 312-48.
  • Suess O, Stendel R, Baur S, A. Schilling, M. Brock: Intracranial hemorrha- ge following lumbar myelography. Case report and rewiev of the litera- ture. Neuroradiology 2000; 14: 211-42. [CrossRef]
  • Vaughan DJ, Stirrup CA, Robinson PN. Cranial subdural haematoma as- sociated with dural puncture in labour. Br J Anaesth 2000; 20: 518-84. [CrossRef]
There are 10 citations in total.

Details

Other ID JA48KC72TB
Journal Section Case Report
Authors

Abdülkadir İskender This is me

Ömer Aykanat This is me

Hayati Kandiş This is me

Publication Date October 1, 2013
Submission Date October 1, 2013
Published in Issue Year 2013 Volume: 4 Issue: 4

Cite

APA İskender, A., Aykanat, Ö., & Kandiş, H. (2013). Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report. Journal of Emergency Medicine Case Reports, 4(4), 164-166.
AMA İskender A, Aykanat Ö, Kandiş H. Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report. Journal of Emergency Medicine Case Reports. October 2013;4(4):164-166.
Chicago İskender, Abdülkadir, Ömer Aykanat, and Hayati Kandiş. “Bilateral Intracranial Subdural Haematoma Occurring After Spinal Anaesthesia: A Case Report”. Journal of Emergency Medicine Case Reports 4, no. 4 (October 2013): 164-66.
EndNote İskender A, Aykanat Ö, Kandiş H (October 1, 2013) Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report. Journal of Emergency Medicine Case Reports 4 4 164–166.
IEEE A. İskender, Ö. Aykanat, and H. Kandiş, “Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report”, Journal of Emergency Medicine Case Reports, vol. 4, no. 4, pp. 164–166, 2013.
ISNAD İskender, Abdülkadir et al. “Bilateral Intracranial Subdural Haematoma Occurring After Spinal Anaesthesia: A Case Report”. Journal of Emergency Medicine Case Reports 4/4 (October 2013), 164-166.
JAMA İskender A, Aykanat Ö, Kandiş H. Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report. Journal of Emergency Medicine Case Reports. 2013;4:164–166.
MLA İskender, Abdülkadir et al. “Bilateral Intracranial Subdural Haematoma Occurring After Spinal Anaesthesia: A Case Report”. Journal of Emergency Medicine Case Reports, vol. 4, no. 4, 2013, pp. 164-6.
Vancouver İskender A, Aykanat Ö, Kandiş H. Bilateral Intracranial Subdural Haematoma Occurring after Spinal Anaesthesia: A Case Report. Journal of Emergency Medicine Case Reports. 2013;4(4):164-6.