Resolución espontánea de hematoma subdural secundario a anestesia raquídea: reporte de caso

Abstract

Subdural hematomas (HSD) are a rare complication after spinal anesthesia that can cause severe disorders with significant neurological deficits. There are different factors that increase the probability of developing it, such as the physiological changes associated with pregnancy. Diagnosis can be difficult due to the similarity of symptoms to postdural puncture headache (CPPD). Treatment is medical or surgical, depending, among other things, on the condition. neurological condition, the thickness of the hematoma or deviation from the midline. We present the case of a patient with chronic subdural hematoma after spinal anesthesia for cesarean section, who was medically treated with subsequent total resorption. Conclusion: In patients undergoing spinal anesthesia and who present with headache in the first 24 to 48 hours, or who return to consult after discharge due to persistence that does not improve with medication, CT should be indicated to rule out intracranial hemorrhages. Medical management and close observation is a valid treatment option for chronic subdural hematomas after spinal anesthesia.