Reynolds A F, Slavin L
Neurosurgery. 1980 Oct;7(4):398-9. doi: 10.1227/00006123-198010000-00016.
The author present a patient who developed an acute intracranial subdural hematoma approximately 35 hours after an uncomplicated delivery under saddle block analgesia. The proposed mechanism is that of cerebrospinal fluid efflux through the lumbar puncture site during uterine contractions and straining; shift of the intracranial structures, especially veins; venous hypertension; venous rupture; and subdural hematoma formation.
作者报告了一名患者，该患者在鞍麻下顺利分娩后约35小时发生急性颅内硬膜下血肿。推测的机制是在子宫收缩和用力时脑脊液通过腰穿部位流出；颅内结构尤其是静脉移位；静脉高压；静脉破裂；以及硬膜下血肿形成。
