Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : July | Volume : 12 | Issue : 7 | Page : QD01 - QD02

Subarachnoid Haemorrhage Following Spinal Anaesthesia in Pregnant Women: A Rare Occurrence

Vineet V Mishra, Sunita Lamba, Kavita Mistry, Ruchika Verneker

1. Professor and Head, Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India. 2. Clinical Fellow, Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India. 3. Assistant Professor, Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India. 4. Clinical Fellow, Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India.

Correspondence Address :
Dr. Vineet V Mishra,
Professor and Head, Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre,
Asarwa, Ahmedabad, Gujarat, India.
E-mail: vineet.mishra.ikdrc@gmail.com

Abstract

With the increasing trend of caesarean delivery, spinal anaesthesia is the most common anaesthetic procedure performed today. The most common complication following this procedure is post spinal headache. However, more dreadful and devastating complication like Subarachnoid Haemorrhage can occur and should be considered in case of persistent headache. We present a case of Subarachnoid Haemorrhage (SAH) following spinal anaesthesia in a woman who underwent full-term caesarean section. Post spinal anaesthesia, she had continuous headache and vomiting. On fourth postoperative day, headache was aggravated and imaging studies revealed subarachnoid haemorrhage with intraventricular bleeding. This article discusses the consideration of SAH following dural puncture, its differential diagnosis and management. Post spinal headache should always be evaluated properly taking into consideration the various differential diagnosis of postoperative headache. Dreadful complication like SAH should be timely diagnosed and treated for better outcome.

Keywords

Intraventricular haemorrhage, Pregnancy, Spinal headache

How to cite this article :

Vineet V Mishra, Sunita Lamba, Kavita Mistry, Ruchika Verneker. SUBARACHNOID HAEMORRHAGE FOLLOWING SPINAL ANAESTHESIA IN PREGNANT WOMEN: A RARE OCCURRENCE. Journal of Clinical and Diagnostic Research [serial online] 2018 July [cited: 2018 Aug 17 ]; 12:QD01-QD02. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=July&volume=12&issue=7&page=QD01-QD02&id=11718

DOI and Others

DOI: 10.7860/JCDR/2018/36186.11718

Date of Submission: Feb 28, 2018
Date of Peer Review: Apr 05, 2018
Date of Acceptance: Apr 26, 2018
Date of Publishing: Jul 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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