{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:59:35Z","timestamp":1781254775687,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acute subdural hemorrhage, following spinal anesthesia, is one of the rarest complication in obstetrics. Unless detected and treated early, it may lead to permanent disability and even maternal death. Post\u2010dural puncture headache is the commonest cause of headache after spinal anesthesia. Severe and pronged headache, refractory to common analgesia, peripheral neurologic symptoms like weakness, mentation change and speech difficulty suggests subdural hemorrhage. Head imaging with CT or MRI is diagnostic. Conservative management or surgical intervention with burr hole and craniotomy are option of management depending on clinical severity and extent of hemorrhage. We present a case of 32\u2009years old, gravida 3 para 2 mother, admitted to hospital and cesarean section was done for indication of previous two cesarean section scar at 39\u2009week of gestation. Spinal anesthesia, Bupivacaine 2.5\u2009mL, was administered using number a 24\u2010gauge spinal needle at L3\u2010L4 level. After 2\u2009h of operation, she complained acute severe occipital headache, upper extremities paresthesia and neck pain. For these compliant, we consider post\u2010dural puncture headache, the commonest cause of headache after spinal anesthesia, and administered her common analgesia. Despite adequate analgesia, headache worsen and developed difficulty of speech, intermittent lower extremity weakness and paresthesia and she became confused. All vital signs were stable and in normal range. On 5th post\u2010operative day, she was evaluated by neurosurgeon and head MRI was taken. Head MRI indicates bilateral acute subdural hemorrhage on parietooccipital area. Amount of hemorrhage was significant and decide to operate the patient emergently. Bilateral Burr hole was done. Post\u2010operative course was smooth. Post\u2010operative course was smooth. She was appointed 2\u2009weeks later for follow\u2010up and her condition was stable. In conclusion, acute subdural hemorrhage is a rare post\u2010spinal anesthesia complication. Clinicians should consider acute subdural hemorrhage in patients with prolonged headache and neurological symptoms after spinal anesthesia. Early diagnosis and intervention are essential to prevent permanent disability.<\/jats:p>","DOI":"10.1002\/ccr3.72344","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T02:44:48Z","timestamp":1775270688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rare Complication of Spinal Anesthesia, Acute Subdural Hemorrhage: Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0798-2527","authenticated-orcid":false,"given":"Eyob Asefa","family":"Belay","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Nekemte Compressive Specialized Hospital  Nekemte Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diriba Kebede","family":"Merga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nekemte Compressive Specialized Hospital  Nekemte Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abebe Bedasa","family":"Ayana","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nekemte Compressive Specialized Hospital  Nekemte Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haileyesus Asefa","family":"Abebe","sequence":"additional","affiliation":[{"name":"Departments of Radiology Nekemte Compressive Specialized Hospital  Nekemte Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chala Takele","family":"Ayana","sequence":"additional","affiliation":[{"name":"Departments of Radiology Nekemte Compressive Specialized Hospital  Nekemte Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4274\/globecc.galenos.2023.69775"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjane.2021.08.025"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42269\u2010023\u201001014\u2010z"},{"key":"e_1_2_11_5_1","unstructured":"F. H.\u00c7elik N.Baykan \u00d6.Salt R.Aytekin andG.Y\u0131lmaz \u201cA Rare Complication After Spinal Anesthesia: Intracranial Subdural Hematoma Spinal Anestezi Sonras\u0131 Nadir Bir Komplikasyon: \u0130ntrakraniyal Subdural Hematom \u201d 46 no. 3 (2024): 205\u2013207."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40981\u2010024\u201000744\u2010x"},{"issue":"4","key":"e_1_2_11_7_1","first-page":"100","article-title":"Spinal Subdural Hematoma Caused Following Spinal Anesthesia in a Woman With HELLP Syndrome, A Case Report","volume":"2023","author":"Samini M.","year":"2024","journal-title":"Canon Journal of Medicine"},{"issue":"3","key":"e_1_2_11_8_1","first-page":"324","article-title":"Spinal Subdural Hematoma: A Rare Complication of Spinal Anesthesia: A Case Report Spinal Anestesi Sonras","volume":"18","author":"Hematoma S. S.","year":"2008","journal-title":"Geliflen Nadir Bir Komplikasyon"},{"key":"e_1_2_11_9_1","unstructured":"S. S.Gargari M.Saleh andS.Esmaeili \u201cCerebral Subdural Hematoma Following Spinal Anesthesia; A Case Report: Assistant Professor of Perinatology Mahdiyeh Hospital ShahidBeheshti University of Medical \u201d 4 (2016): 170\u2013174."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/352028"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40981-018-0151-8"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/86.6.893"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:40:16Z","timestamp":1781253616000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccr3.72344"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72344","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72344"}}