Acute subdural hematoma after spinal anesthesia in an obstetrics patient – a case report

Background. In obstetric patients, the occurrence of intracranial subdural hematoma as a complication of spinal anesthesia is rare, with an estimated incidence of approximately 0.05%. Misdiagnosis may lead to severe consequences or delay timely intervention. The primary symptom is often headache, sometimes accompanied by signs of increased intracranial pressure. Case report. A 32-year-old female patient developed an acute subdural hematoma following cesarean section under spinal anesthesia. She presented with headache, convulsions, reduced consciousness, and ipsilateral pupil dilatation in conjunction with the presence of a lesion. An urgent craniotomy was performed. Conclusion. Subdural hematoma should be considered in patients presenting with severe headache after spinal anesthesia. Early recognition and prompt treatment are essential to reduce mortality and morbidity.