Korean J Anesthesiol.  2011 Jul;61(1):75-78. 10.4097/kjae.2011.61.1.75.

Acute-on-chronic subdural hematoma by spinal anesthesia in a patient with undiagnosed chronic subdural hematoma: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. zion_yuyil@yahoo.co.kr

Abstract

Subdural hematoma is a serious but rare complication of spinal anesthesia. A 70-year-old woman patient underwent elective total knee replacement under spinal anesthesia. At 4 days postoperatively, the patient complained of headache and vomiting. Brain computed tomography revealed an acute-on-chronic subdural hematoma with midline shift. The patient recovered completely after surgical decompression. We report a patient with an undiagnosed chronic subdural hematoma, who developed acute-on-chronic subdural hematoma after spinal anesthesia.

Keyword

Acute-on-chronic; Complication; Spinal anesthesia; Subdural hematoma

MeSH Terms

Aged
Anesthesia, Spinal
Arthroplasty, Replacement, Knee
Brain
Decompression, Surgical
Female
Headache
Hematoma, Subdural
Hematoma, Subdural, Chronic
Humans
Vomiting
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