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  • Bilateral Subdural Hematomas after Dural Puncture: Delayed Diagnosis after False Negative Computed Tomography Scan without Contrast

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Case Report
Bilateral Subdural Hematomas after Dural Puncture: Delayed Diagnosis after False Negative Computed Tomography Scan without Contrast
  1. Stephen W. Wyble, M.D.*,
  2. S. Viswanathan, M.D.**,
  3. Daniel Bayhi, M.D., J.D., R.PH.** and
  4. Donald Webre, M.D.†
  1. From the Department of Anesthesiology, Charity Hospital, Louisiana State University Medical Center, New Orleans.
  2. *Resident.
  3. **Associate Professor.
  4. †Assistant Professor.
  1. Address correspondence and reprint requests to Daniel Bayhi, M.D., J.D., R.Ph., Associate Professor, Department of Anesthesiology, Charity Hospital, Louisiana State University Medical Center, 1532 Tulane Ave., New Orleans, LA 70140.

Abstract

Background. Dural puncture secondary to spinal anesthesia or unintentional dural puncture during attempted epidural anesthesia can lead to headaches complicated by bilateral subdural hematomas. Routine computed tomography scan may not elucidate bilateral subdural hematomas in the isodense phase.

Conclusion. Computed tomography scans with contrast media or magnetic resonance imaging may be necessary to diagnose bilateral subdural hematomas.

  • Bilateral subdural hematoma
  • dural puncture.

https://doi.org/10.1136/rapm-00115550-199217010-00012

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