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Case Reports in Emergency Medicine
Volume 2015, Article ID 597942, 2 pages
http://dx.doi.org/10.1155/2015/597942
Case Report

Subdural Hematoma as a Consequence of Epidural Anesthesia

Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, CC & I-78, Allentown, PA 18103, USA

Received 18 October 2015; Revised 17 November 2015; Accepted 24 November 2015

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2015 Tracy M. Bishop et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Regional spinal and epidural anesthesia are used commonly in operative procedures. While the most frequent complication, postdural puncture headache (PDPH), is a clinically diagnosed positional headache that is usually self-limited, subdural hemorrhage (SDH) is a potentially fatal complication that cannot be missed. We report a case of an otherwise healthy female who presented with persistent positional headache and was ultimately found to have a large subdural hematoma with midline shift requiring surgical evacuation.