Korean J Anesthesiol.  2008 Feb;54(2):217-219. 10.4097/kjae.2008.54.2.217.

Irrelevant Intracerebral Hemorrhage after Cesarean Section under Combined Spinal-epidural Anesthesia: A case report

• Kim JH
• Choe WJ
• Lee SI
• Kim JY
• Kim KT
• Park JS
• Kim JW

• KMID: 2244028
• DOI: http://doi.org/10.4097/kjae.2008.54.2.217

Abstract

Although there are no verified relationship between ICH and spinal anesthesia, there has been a few articles that report ICH after spinal anesthesia. We report a parturient with postpartum headache, nausea and vomiting which were diagnosed as symptoms of intracerebral hemorrhage, later. She had received a cesarean section under the spinal anesthesia, and developed a light headache, nausea, and vomiting at the ninth hour after the operation.She presented a generalized tonic seizure two hours later, and had other seizure on the day after operation. A brain computed tomography was performed and it revealed an intracerebral hemorrhage. She discharged 16 days after the surgery, without any sequelae. Parturients are prone to develop PDPH after spinal anesthesia, and other diseases with symptoms of headache, nausea, and vomiting may be misdiagnosed as PDPH. A cautious diagnosis should be made when one confronts a headache after spinal anesthesia, especially with a parturient.

Keyword

combined spinal-epidural; intracerebral hemorrhage; post dural puncture headache; pregnancy; spinal anesthesia

MeSH Terms

Anesthesia, Spinal
Brain
Cerebral Hemorrhage
Cesarean Section
Female
Headache
Light
Nausea
Post-Dural Puncture Headache
Postpartum Period
Pregnancy
Seizures
Vomiting