BILATERAL SUBDURAL-HEMATOMA FOLLOWING EPI DURAL ANALGESIA

Purpose: The authors report a case of bilateral subdural hematoma (SDH ) which occurred following epidural analgesia for labour, complicated by post dural puncture headache (PDPH). Physiopathological mechanisms are discussed. Clinical features: A 27-yr-old woman displayed typical PDPH following epidural anaesthesia. On the fifth day she was given a blood patch (BP) which proved immediately effective. Further developme nts were marked by late recurrence of PDPH and by administration of a second BP on the 24th day. With the aggravation of the headaches, the disappearance of their postural nature and with the appearance of tran sitory focal neurological signs on the 30th day, a CT-Scan was done an d showed bilateral subdural haematoma. Following surgical drainage, th e patient made an uneventful recovery. Conclusion: The presence of PDP H complicated by a typical neurological deterioration should prompt th e anaesthetist to seek an immediate clinical and x-ray diagnosis in or der to look for the existence of intracranial complications.