Acute subdural hematoma after caesarean section: A case report

Haase, Roland; Kursawe, Ilona; Nagel, Frank; Sitka, U; Burdach, Stefan

doi:10.1097/01.pcc.0000059333.73412.f0

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Pituitary apoplexy occurring after spinal anesthesia for cesarean sections is an extremely rare acute clinical condition that presents with symptoms including sudden headache, nausea, vomiting, visual disturbances, meningeal signs, and altered consciousness [ 13 , 14 ]. However, the symptoms are the combined results of subdural hematoma and pituitary apoplexy as such they may overlap each other [ 1 , 2 , 6 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…First, for subdural hematoma, the primary mechanism leading to it after spinal anesthesia is intracranial hypotension that causes a caudal shift of the brain. This leads to traction of broken dural vessels (such as a small cerebral cortical vein, the bridging dural vein, or dural venous sinus wall) that result in blood extravasation and the formation of subdural hematoma [ 2 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, anesthesia and caesarean section may cause some certain complications such as intracranial bleeding that can be potentially lethal. Few cases of intracranial subdural hematoma following the administration of epidural anesthesia have been reported in the literature [1][2][3][4][5]. Very few cases of pituitary apoplexy have been reported in postpartum patients [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Pituitary Apoplexy and Subdural Hematoma after Caesarean Section

Hoang

Nguyen³

et al. 2022

Case Reports in Obstetrics and Gynecology

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Pituitary apoplexy can occur postpartum, and subdural hematoma following epidural anesthesia is a rare complication. Cooccurrence of these two complications is extremely rare and has not been previously reported in the literature. In this article, we present a case of pituitary apoplexy along with intracranial subdural hematoma happening two days after spinal anesthesia for cesarean section. The patient presented with peripheral facial nerve paralysis accompanied by headache, eye pain, and blurred vision and was diagnosed by imaging modalities. The patient made a good recovery with conservative treatment without serious health events.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pituitary Apoplexy and Subdural Hematoma after Caesarean Section

Hoang

Nguyen³

et al. 2022

Case Reports in Obstetrics and Gynecology

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“…Children with cancer are admitted to PICU for varied reasons, that is, tumor-related problems like superior vena cava (SVC) syndrome and tumor lysis syndrome (TLS), or therapy-related toxicity and/or immunosuppression resulting into infectious complications. 3,4 Most of the data regarding PICU outcomes is available from developed countries. There are studies that look at outcome of children admitted in PICU where adverse outcome was reported if children required inotrope support or ventilation in context of sepsis after bone marrow transplantation.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Short-Term Outcome of Critically Ill Children with Malignancies Admitted in Pediatric Intensive Care Unit: A Retrospective Observational Study

Aggarwal

Kumar

Rao

et al. 2021

Indian J Med Paediatr Oncol

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Introduction Pediatric cancer contributes <1% of all malignancies. Childhood cancer survival has improved dramatically with the use of more intensive chemotherapy regimens, better stratification, and improvement in supportive care with enhanced facilities in pediatric intensive care unit (PICU). Objective The aim of this study was to identify the risk factors responsible for poor outcome in critically ill children with malignancies admitted in PICU. Materials and Methods Sixty-four children with a primary diagnosis of malignancy admitted in PICU with disease or treatment related complications were enrolled retrospectively. The short-term outcome, that is, shifting from PICU to ward, was assessed in relation to the presence of febrile neutropenia, organ failure, hepatitis, acute renal failure as well as requirement of inotropes and mechanical ventilation. Death was considered as an adverse outcome in this study. Results The mean age of study population was 6.25 ± 3.91 and M:F ratio 2.4:1. The majority of children had hematological malignancies (81.25%), that is, pre-B acute lymphoblastic leukemia (ALL) (45.3%), non-Hodgkin lymphoma (21.3%), acute myeloid leukemia (12.5%), T ALL (10.9%), and Hodgkin lymphoma (3.1%). Few children also had retinoblastoma (4.7%) and Langerhans cell histiocytosis (1.6%). The mean duration of PICU stay was 3.16 ± 2.31 days. Sepsis (37.5%) was the most common indication for PICU admission, followed by metabolic disturbance (26.6%), respiratory failure (17.2%), neurological complaints (15.6%), and anaphylactic shock (3.1%). Children requiring mechanical ventilation (p < 0.001), inotrope support (p < 0.001), having acute renal failure (p = 0.001), and >1 organ failure (p < 0.001) were associated with adverse outcome. The overall survival at the time of discharge from PICU was 64%. Conclusion In the context of low- and middle-income countries, optimal resource utilization by early identification of risk factors for clinical deterioration is required to allow timely admission to PICU and delivery of life-saving therapy to salvageable patients.

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