Kale A. | Emmez H. | Pişkin Ö. | Durdağ E.

Article | 2015 | Korean Journal of Anesthesiology68 ( 5 ) , pp.509 - 512

Spinal anesthesia is widely used for many obstetric, gynecological, orthopedic, and urological operations. Subdural hematomasamay occur after trauma and are associated with high morbidity and mortality rates. Postdural puncture headachea(PDPH) is a benign condition and the most frequent complication of spinal anesthesia. The high rate of headacheaafter spinal anesthesia may mask or delay the diagnosis of subdural hematoma. The true incidence of postdural punctureasubdural hematoma (PDPSH) is unknown because most affected patients are probably managed without investigatioa. Therefore, the true incidence of PDPSH may be greater than s . . .uggested by previous reports. The differentiation of headache associated with subdural hematoma from PDPH is crucial. We herein report two cases of bilateral subdural hematoma after epidural anesthesia and emphasize the importance of suspicion for PDPSH and careful evaluation of patients with headache after spinal anesthesia. © the Korean Society of Anesthesiologists, 2015 Daha fazlası Daha az

Kale, Aydemir | Emmez, Hakan | Piskin, Ozcan | Durdag, Emre

Article | 2015 | KOREAN JOURNAL OF ANESTHESIOLOGY68 ( 5 ) , pp.509 - 512

Spinal anesthesia is widely used for many obstetric, gynecological, orthopedic, and urological operations. Subdural hematomas may occur after trauma and are associated with high morbidity and mortality rates. Postdural puncture headache (PDPH) is a benign condition and the most frequent complication of spinal anesthesia. The high rate of headache after spinal anesthesia may mask or delay the diagnosis of subdural hematoma. The true incidence of postdural puncture subdural hematoma (PDPSH) is unknown because most affected patients are probably managed without investigation. Therefore, the true incidence of PDPSH may be greater than s . . .uggested by previous reports. The differentiation of headache associated with subdural hematoma from PDPH is crucial. We herein report two cases of bilateral subdural hematoma after epidural anesthesia and emphasize the importance of suspicion for PDPSH and careful evaluation of patients with headache after spinal anesthesia Daha fazlası Daha az