Inadvertent dural puncture during epidural anesthesia leads to intracranial hypotension, which if left unnoticed can cause life-threatening subdural hematomas or cerebellar tonsillar herniation. The highly variable presentation of intracranial hypotension hinders timely diagnosis and treatment. We present the case of a young laboring adult female, who developed subdural hygromas and a subdural hematoma following unintentional dural puncture during initiation of epidural anesthesia.

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Dual Bolus Single Acquisition Computed Tomography may lead to reduced radiologist accuracy in the diagnosis of splenic injury, particularly pseudoaneurysm; however, such conclusions remain tentative given the small patient numbers examined.

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