Bishop Tracy M, Elsayed Kareem S, Kane Kathleen E
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA.
Case Rep Emerg Med. 2015;2015:597942. doi: 10.1155/2015/597942. Epub 2015 Nov 30.
Regional spinal and epidural anesthesia are used commonly in operative procedures. While the most frequent complication, postdural puncture headache (PDPH), is a clinically diagnosed positional headache that is usually self-limited, subdural hemorrhage (SDH) is a potentially fatal complication that cannot be missed. We report a case of an otherwise healthy female who presented with persistent positional headache and was ultimately found to have a large subdural hematoma with midline shift requiring surgical evacuation.
区域脊髓麻醉和硬膜外麻醉在手术操作中常用。虽然最常见的并发症——硬膜穿刺后头痛（PDPH）是一种临床诊断的体位性头痛，通常为自限性，但硬膜下出血（SDH）是一种不能漏诊的潜在致命并发症。我们报告一例原本健康的女性病例，该患者出现持续性体位性头痛，最终发现有巨大硬膜下血肿并伴有中线移位，需要手术清除血肿。
