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SAS Journal of Surgery | Volume-7 | Issue-08
Acute Subdural Hematoma Post Spinal Anesthesia: Case Report and Review of Literature
Mourad Lahmar, Nour Elhouda Boutarouret, Abderraouf Bataiche
Published: Aug. 16, 2021 | 140 90
DOI: 10.36347/sasjs.2021.v07i08.006
Pages: 428-430
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Abstract
Most cases of subdural hematoma occurring in the course of or after spinal anesthesia are related to the use of large gauge needles. Acute subdural hematomas associated with spinal anesthesia and which have been reported in the literature is rare. The pathophysiology of this complication can be explained by the leakage of cerebrospinal fluid and its persistence during the following days, which leads to ventricular collapse, which then results in a separation of the brain from the dura which is suspended. by bridging veins, the rupture of which would be the cause of the formation of the subdural hematoma. This is the case of our 36-year-old patient, with no particular history, who was cesarized under spinal anesthesia, who was admitted in the emergency setting for a coma just after her cesarean delivery. Exploration by brain scanner objectified the diagnosis of subdural hematoma.