K Krishnakumar, Chatterjee Nilay, Shrivastava Adesh, Davis Josemine, N Suresh Nair
Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum 695011, Kerala, India.
Middle East J Anaesthesiol. 2013 Feb;22(1):117-20.
The appearance of a subdural hematoma (SDH) following spinal anesthesia is a serious and rare complication which mandates prompt diagnosis, although the treatment modalities are not well codified. Patients with post-dural puncture headache (PDPH) non-responsive to conservative measures and/or those patients with a change of the character of the headache should be considered seriously. In symptomatic patients, evacuation of SDH is essential but epidural blood patch should be strongly considered as it can prevent reappearance of SDH by sealing the dural defect.
脊髓麻醉后出现硬膜下血肿（SDH）是一种严重且罕见的并发症，尽管治疗方式尚无明确规范，但仍需迅速诊断。对保守治疗无反应的硬膜穿刺后头痛（PDPH）患者和/或头痛性质发生改变的患者应予以高度重视。对于有症状的患者，清除SDH至关重要，但应强烈考虑采用硬膜外血贴，因为它可以通过封闭硬膜缺损来防止SDH再次出现。
