Subdural Hematoma Following Dural Puncture With Intrathecal Catheter Insertion

Proposal Number:

MCC-7123 

Proposal Type:

Medically Challenging Case Report Poster 

Author:

Li Zhang  
Montefiore

Co-Author:

Jing Song  
Montefiore

Abstract:

24 y o G1P0010 with no significant pmhx presented at 38 weeks for induction of labor secondary to gestational diabetes. Difficult CSE was placed after multiple attempts, with decision to thread intrathecal catheter following dural puncture due to difficulty of access. Delivery complicated by shoulder dystocia, with success reduction of shoulder, and successful delivery of 8/9 apgar baby.
Patient developed PDPH on PPD 0, with partial relief following epidural blood patch. On PPD 6, patient returned to hospital with headache relating to subdural hematoma. Headache resolved with second epidural blood patch. This case highlights the rare complication of subdural hematoma in setting of placement of intrathecal catheter after dural puncture.

Professional Category:

Resident/Trainee

Keywords:

Obstetric

Enter up to two references.

  Reference
1. Vandam LD, Dripps RD. Long term follow up of patients who received 10,098 spinal anesthetics. JAMA. 1956;161:586–590.CrossRef[JAMA and JAMA Network Journals Full Text] Yamashima, T. and Friede, R.L. Why do bridging veins rupture into the virtual subdural space?. J Neurol Neurosurg Psychiatry. 1984; 47: 121–127