Epidural Anesthesia Complicated by Subdural Hygromas and a Subdural Hematoma

Abstract EN

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.