García-Sánchez M J, Prieto-Cuéllar M, Sánchez-Carrión J M, Galdo-Abadín J R, Martín-Linares J M, Horcajadas-Almansa A
Servicio de Anestesiología, Ciudad Sanitaria Virgen de las Nieves, Granada.
Rev Esp Anestesiol Reanim. 1996 Nov;43(9):327-9.
We report the case of a 54-year-old woman with cephalea of five months duration caused by a chronic subdural hematoma that appeared after epidural anesthesia and accidental dural puncture for bilateral saphenectomy. Computed tomography of the brain revealed an intracranial hematoma. After surgical evacuation, the patient's headaches resolved and she recovered fully. The appearance of cephalea after dural puncture is a relatively frequent complication of spinal anesthesia, but its persistence over time, as well as changes in its initial characteristics, should lead to a suspicion of life-threatening subdural hematoma.
我们报告了一例54岁女性患者，其因硬膜外麻醉和双侧大隐静脉切除术意外硬膜穿刺后出现慢性硬膜下血肿，导致持续5个月的头痛。脑部计算机断层扫描显示颅内血肿。手术清除血肿后，患者头痛缓解并完全康复。硬膜穿刺后出现头痛是脊髓麻醉相对常见的并发症，但其持续存在以及初始特征的变化应引起对危及生命的硬膜下血肿的怀疑。
