Intracranial Acute Subdural Hematoma Following Spinal Anesthesia for Cesarean Delivery

Intracranial subdural haematoma is a rare but serious complication of spinal anesthesia in obstetric patients undergoing Cesarean Delivery (CD). In this case series, we analyzed 3 patients who developed acute intracranial subdural hematoma following spinal anesthesia for CD. Clinical presentation with headache of 3-4 weeks duration that worsened over 2-3 days prior to admission for neurosurgical intervention was evident in all the patients. Brain CT-Scan was the imaging modality used to confirm the diagnosis of acute intracranial subdural hematoma in all of them, and Burr hole was done to evacuate the hematoma, and all of them fully recovered with no neurological deficit. Their postoperative follow-up visit after 2 weeks didn't document any neurologic abnormality. Postspinal headache that persists beyond 2 weeks during the postpartum period warrants an urgent neurosurgical evaluation, as it may be due to subdural hematoma.