scholarly journals Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vittorio Schweiger ◽  
Giovanni Zanconato ◽  
Gisella Lonati ◽  
Silvia Baggio ◽  
Leonardo Gottin ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Early Recognition ◽  
Neurologic Impairment ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Subdural Bleeding ◽  
Obstetric Population ◽  
Persistent Headache

Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence in the obstetric population. Nevertheless, it is a potentially life-threatening complication. In the majority of the cases, the first clinical symptom associated with intracranial subdural bleeding is severe headache, but the clinical course may have different presentations. In this report, we describe the case of a 38-year-old woman with an acute intracranial subdural hematoma shortly after spinal anesthesia for cesarean section. Early recognition of symptoms of neurologic impairment led to an emergency craniotomy for hematoma evacuation with good recovery of neurologic functions. The possibility of subdural hematoma should be considered in any patient complaining of severe persistent headache following regional anesthesia, unrelieved by conservative measures. Only early diagnosis and an appropriate treatment may avoid death or irreversible neurologic damage.

Intracranial Acute Subdural Hematoma Following Spinal Anesthesia: Our Experience with Six Patients

2019 ◽  
Vol 81 (01) ◽  
pp. 044-047
Author(s):  
Ahmed M. Elshanawany ◽  
Amani Hassan Abdel Wahab
Keyword(s):  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Time Lag ◽  
Acute Subdural Hematoma ◽  
Etiological Factors ◽  
Blood Disorder ◽  
Surgical Evacuation ◽  
Persistent Headache ◽  
Severe Deterioration

Abstract Objective To describe our experience with the occurrence of intracranial acute subdural hematoma (ASDH) following spinal anesthesia. Patients and Methods We reviewed our records from 2010 to 2017 to detect cases of nontraumatic ASDH following spinal anesthesia. All cases were analyzed for the etiological factors, time lag between the procedure and hematoma diagnosis, treatment, and outcome. Results Of 329 cases of nontraumatic ASDH, we identified 6 patients whose spontaneous ASDH developed following spinal anesthesia. All our patients were obstetrical and received spinal anesthesia for delivery. Patient ages ranged from 21 to 34 years. Two patients presented with deterioration of consciousness a few hours after delivery. Three patients presented with persistent headache and lethargy days after delivery. One patient presented 3 days after delivery with severe deterioration of consciousness. All patients had undergone surgical evacuation of a hematoma. Five patients recovered and one patient died 2 days after surgery. Records showed none of the six patients had coagulopathy or any other blood disorder. Conclusion Although uncommon, intracranial ASDH should be considered in patients following spinal anesthesia, especially those with a prolonged headache after the procedure.

scholarly journals A Rare and Fatal Complication of a Self-Limiting Infection: A Case Report on Dengue Associated Hemophagocytic Lymphohistiocytosis

2019 ◽  
Vol 30 (2) ◽  
pp. 93-95
Author(s):  
Alvin Oliver Payus ◽  
Cheong Lei Wah ◽  
Syahrul Sazliyana Shaharir
Keyword(s):  
Case Report ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Autosomal Recessive ◽  
De Novo ◽  
Medical Condition ◽  
Early Recognition ◽  
Genetic Disorder ◽  
Intravenous Methylprednisolone ◽  
Appropriate Treatment ◽  
Life Threatening

Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening medical condition characterized by hyperphagocytosis secondary to an inappropriate over-activation of macrophages and lymphocytes that driven by excessive cytokines production which resulted in cellular destructions. It can arise de novo as a result of an autosomal recessive genetic disorder, or in the background of an infection, malignancy or autoimmune disease. Dengue fever is one of the uncommon causes of infection related secondary HLH. Here, we present a case of a Dengue associated HLH which was successfully treated with intravenous methylprednisolone and immunoglobulin G. In conclusion, the purpose of this case report is to illustrate the importance of early recognition and prompt initiation of the appropriate treatment for HLH suspected patient whom otherwise has high mortality rate. Bangladesh J Medicine July 2019; 30(2) : 93-95

scholarly journals A Case of Post-partum Chronic Subdural Hematoma.

2021 ◽  
Author(s):  
Suyasha Rajbhandari ◽  
Pritam Gurung ◽  
Gopi Nepal ◽  
Samir Acharya ◽  
Basant Pant
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Dural Puncture ◽  
Post Partum ◽  
Chronic Subdural Hematoma ◽  
Lower Segment ◽  
Post Dural Puncture Headache ◽  
Lower Segment Cesarean Section ◽  
Variable Presentation

Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence and has variable presentation. Due to rarity, it may often be misdiagnosed as post-dural puncture headache. In this report, we describe a case of a 25-year-old woman who presented with a headache following lower segment cesarean section after spinal anesthesia.

scholarly journals Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Delayehu Bekele ◽  
Mehari Bayable ◽  
Alemayehu Bedane
Keyword(s):  
Computed Tomography ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Elective Cesarean Section ◽  
Delay In Diagnosis ◽  
Elective Cesarean ◽  
High Index Of Suspicion ◽  
Head Computed Tomography

Abstract Background Subdural hematoma is a rare, potentially devastating, yet curable complication of spinal anesthesia. Differentiation between post-dural puncture headache and subdural hematoma can be difficult, resulting in a delay in diagnosis. Case presentation We present a 28-year-old Ethiopian female patient who underwent elective cesarean section under spinal anesthesia and returned to the emergency department after 1 month with a worsening headache. Brain computed tomography revealed a chronic subdural hematoma with a significant midline shift. The patient recovered completely after surgical evacuation. Conclusions A high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital.

Anaphylaxis and other allergic reactions to food: a global challenge

2020 ◽  
Vol 13 (5) ◽  
pp. e231425
Author(s):  
Antonio Jose Reyes ◽  
Amanda Sheena Hosein ◽  
Kanterpersad Ramcharan ◽  
Sean Perot
Keyword(s):  
Early Recognition ◽  
Public Awareness ◽  
Successful Outcome ◽  
Allergic Reactions ◽  
Global Challenge ◽  
Link Type ◽  
Preventative Measures ◽  
Appropriate Treatment ◽  
Threatening Condition ◽  
Life Threatening

We describe a case of a biphasic anaphylactic reaction that occurred in a young woman soon after the ingestion of soy milk that led to her hospitalisation. Early recognition and appropriate treatment led to a successful outcome of this life-threatening condition. Challenges encountered in the care of this common illness are highlighted. There is a need for an increase in public awareness on dangerous allergic reactions caused by allergens present in food products in public use, thereby facilitating primary preventative measures to minimise its occurrence. Healthcare stakeholders need to implement measures of contemporary preventative medicine and efficient therapeutic protocols to safeguard the public welfare concerning this global health problem where appropriate interventions can reduce morbidity and mortality. Trial registration numbers NCT02991885 and NCT02851277.

scholarly journals Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature

2014 ◽  
Vol 4 (1) ◽  
pp. 45 ◽  
Author(s):  
Uma Srivastava ◽  
Archna Agrawal ◽  
Yogita Dwivedi ◽  
Amrita Gupta ◽  
Sathiyanarayanan Pilendran ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Review Of Literature

ACUTE SUBDURAL HEMORRHAGE AT BIRTH

PEDIATRICS ◽  
1954 ◽  
Vol 14 (5) ◽  
pp. 468-474
Author(s):  
RAYMOND SCHIPKE ◽  
DAVID RIEGE ◽  
WILLIAM B. SCOVILLE
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Significance ◽  
Subdural Hematoma ◽  
Early Recognition ◽  
Chronic Subdural Hematoma ◽  
Subdural Hemorrhage ◽  
Subdural Bleeding ◽  
Directing Attention

The term "acute subdural hemorrhage of the newborn" has been suggested for comparison with subarachnoid hemorrhage of the newborn and chronic subdural hematoma of infancy. Two cases of subdural hemorrhage in the newborn, treated by subdural drainage, are presented in detail. Five additional cases discovered at autopsy are discussed. Increased tension of the fontanelle is the most important single sign for directing attention to the possibility of subdural bleeding at birth. Early recognition as a prerequisite for favorable therapy is emphasized. Subdural bleeding of clinical significance is best demonstrated by coronal subdural taps.

scholarly journals Facial nerve palsy in otitis externa: A red flag?

2021 ◽  
Vol 16 (1) ◽  
pp. 117-120
Author(s):  
Aliyya Badaruddin ◽  
May May Choo
Keyword(s):  
External Auditory Canal ◽  
Facial Palsy ◽  
Otitis Externa ◽  
Facial Nerve Palsy ◽  
Early Recognition ◽  
Invasive Infection ◽  
Necrotizing Otitis Externa ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Red Flag

Otitis externa is an infection of the external auditory canal. It rarely results in facial palsy except in severe cases such as necrotizing otitis externa, which is a life-threatening invasive infection of the external auditory canal. Early recognition with prompt and appropriate treatment of necrotizing otitis externa is crucial to prevent more sinister complications. Here we report a case of an elderly gentleman who presented with otitis externa and developed facial palsy a month later. We identified possible problems that may have led to the complication so that such an occurrence can be prevented in the future.

scholarly journals Severe Anaphylaxis to Volplex, a Colloid Solution during Cesarean Section: A Case Report and Review

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
K. Karri ◽  
R. Raghavan ◽  
J. Shahid
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cesarean Section ◽  
Anaphylactic Reaction ◽  
Early Recognition ◽  
Colloid Solution ◽  
Severe Anaphylaxis ◽  
Life Threatening ◽  
Severe Anaphylactic Reaction ◽  
Life Threatening Event

Anaphylaxis is a life-threatening event that can occur anytime during pregnancy. It has been reported following administration of various substances with adverse maternal and neonatal consequences. It should be considered in the differential diagnosis of intrapartum collapse. We encountered a case of severe anaphylactic reaction following a routine cesarean section. It is very important that all members of the perinatal team are aware of early recognition and management of anaphylactic reaction. We think that it is important to highlight this as a further case report of severe anaphylactic reaction to a colloid solution and discuss the pathophysiology and management.

Toward an advisory system for cesarean section spinal anesthesia

2004 ◽  
Author(s):  
P. Fung ◽  
G. Dumont ◽  
M. Ansermino ◽  
M. Huzmezan ◽  
A. Kamani
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Advisory System
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