Subarachnoid Hemorrhage Following Spinal Anesthesia: Two Case Reports
Abstract
Spinal anesthesia has been performed on patients who undergo cesarean section, for years. A variety of complications are reported which are followed by spinal anesthesia; but subarachnoid hemorrhage is not one of them. In this study, we present two cases of Subarachnoid hemorrhage resulting from spinal anesthesia. In both cases, patients suffered from a thunderclap sudden-onset headache after undergoing cesarean section. Imaging and laboratory investigations were performed in order to determine the reason contributing to the headache, which revealed subarachnoid hemorrhage. After investigation and excluding other underlying causes, normal imaging studies suggested that the occurrence of subarachnoid hemorrhage as a possible complication of spinal anesthesia should be considered.
[2] Jaafarpour M, Taghizadeh Z, Shafiei E, Vasigh A, Sayehmiri K. The effect of intrathecal meperidine on maternal and newborn outcomes after cesarean section: a systematic review and meta- analysis study. Anesthesiology and Pain Medicine. 2020;10(2).
[3] Vgontzas A, Robbins MS. A hospital based retrospective study of acute postpartum headache. Headache: The Journal of Head and Face Pain. 2018;58(6):845-51.
[4] Gorelick PB, Hier DB, Caplan LR, Langenberg P. Headache in acute cerebrovascular disease. Neurology. 1986;36(11):1445-.
[5] Macdonald RL, Schweizer TA. Spontaneous subarachnoid haemorrhage. Lancet (London, England). 2017;389(10069):655- 66.
[6] Liew J, Feghali J, Huang J. Intracerebral and subarachnoid hemorrhage in pregnancy. Handbook of clinical neurology. 2020; 172:33-50.
[7] Sibai BM, Coppage KH. Diagnosis and management of women with stroke during pregnancy/postpartum. Clinics in perinatology. 2004;31(4):853-68.
[8] Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis. Stroke. 2000;31(6):1274-82.
[9] Mas J-L, Lamy C. Stroke in pregnancy and the puerperium. Journal of neurology. 1998;245(6):305-13.
[10] Böttiger BW, Diezel G. [Acute intracranial subarachnoid hemorrhage following repeated spinal anesthesia]. Anaesthesist. 1992;41(3):152-7.
[11] Mas JL, Lamy C. Stroke in pregnancy and the puerperium. Journal of Neurology. 1998;245(6):305-13.
[12] Eggert SM, Eggers KA. Subarachnoid haemorrhage following spinal anaesthesia in an obstetric patient. BJA: British Journal of Anaesthesia. 2001;86(3):442-4.]
Files | ||
Issue | Vol 8 No 3 (2023): May-June | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/crcp.v8i3.14239 | |
Keywords | ||
Spinal anesthesia Subarachnoid hemorrhage Cesarean section |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |