Subdural and epi-arachnoid hemorrhage following spinal epidural block requiring hematoma removal: illustrative case

Although spinal epidural block is generally considered a safe procedure, rare complications such as SDH can occur. Physicians should maintain a high index of suspicion for such complications in patients presenting without new neurological symptoms after epidural block. When diagnosed with SDH, surgical treatment including laminectomy and irrigation via Nelaton catheter may be necessary to optimize patient outcomes. https://thejns.org/doi/10.3171/CASE25448.