{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:30:55Z","timestamp":1782603055142,"version":"3.54.5"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Spinal intradural hematomas rarely occur following spinal anesthesia. In this case, a 34-year-old postpartum female developed conus-cauda paraplegia (T12\/L1\u2013L5) due to an acute subdural hematoma after spinal anesthesia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>Four-day postpartum, a 34-year-old female presented with severe paraplegia (1\/5 motor power), complete T12\u2013L1 sensory loss, and bowel incontinence. The lumbar magnetic resonance imaging (MRI) revealed a subacute subdural hematoma extending from the L1 to L5 levels. An urgent L1\u2013L5 laminectomy was performed for clot evacuation. Within 3 postoperative months, she regained 4+\/5 motor strength bilaterally and full bowel\/bladder control.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Spinal anesthesia may cause acute\/subacute subdural hematomas. Here, 4-day postpartum, a 34-year-old female became paraplegic due to a subacute T12-L5 subdural hematoma documented on an MRI scan. She underwent emergent decompression, and within 3 postoperative months, regained nearly normal function.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_413_2025","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T09:39:50Z","timestamp":1751017190000},"page":"267","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A rare case of postpartum paraplegia due to spinal intradural hematoma"],"prefix":"10.25259","volume":"16","author":[{"given":"Anmol Singh","family":"Randhawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swarjith","family":"Nimmakayala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhawani Shanker","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohin","family":"Bhatia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitendra Singh","family":"Verma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"10.25259\/SNI_413_2025\/ref-1","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.joad.2015.06.015","article-title":"A case of acute spinal intradural hematoma due to spinal anesthesia","volume":"4","author":"Avecillas-Chasin","year":"2015","journal-title":"J Acute Dis"},{"key":"10.25259\/SNI_413_2025\/ref-2","doi-asserted-by":"crossref","first-page":"516","DOI":"10.4184\/asj.2014.8.4.516","article-title":"Spinal intradural hematoma and permanent paraparesis after a lumboperitoneal shunt operation: An unusual complication","volume":"8","author":"Basaran","year":"2014","journal-title":"Asian Spine J"},{"key":"10.25259\/SNI_413_2025\/ref-3","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1053\/crad.2000.0466","article-title":"Spinal subdural haematoma: A study of three cases","volume":"56","author":"Boukobza","year":"2001","journal-title":"Clin Radiol"},{"key":"10.25259\/SNI_413_2025\/ref-4","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.jemermed.2013.04.048","article-title":"Acute nontraumatic spinal intradural hematoma in a patient on warfarin","volume":"45","author":"Bruce-Brand","year":"2013","journal-title":"J Emerg Med"},{"key":"10.25259\/SNI_413_2025\/ref-5","doi-asserted-by":"crossref","first-page":"e118","DOI":"10.1097\/SCS.0000000000001343","article-title":"Coexistence of spontaneous spinal and undiagnosed cranial subdural hematomas","volume":"26","author":"Cui","year":"2015","journal-title":"J Craniofac Surg"},{"key":"10.25259\/SNI_413_2025\/ref-6","doi-asserted-by":"crossref","first-page":"154","DOI":"10.17085\/apm.2018.13.2.154","article-title":"Subarachnoid hematoma after spinal anesthesia\u2014a case report","volume":"13","author":"Jang","year":"2018","journal-title":"Anesth Pain Med"},{"key":"10.25259\/SNI_413_2025\/ref-7","doi-asserted-by":"crossref","first-page":"388","DOI":"10.4097\/kjae.2013.64.4.388","article-title":"Spinal subarachnoid hematoma after spinal anesthesia","volume":"64","author":"Jeon","year":"2013","journal-title":"Korean J Anesthesiol"},{"key":"10.25259\/SNI_413_2025\/ref-8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ijoa.2009.05.007","article-title":"Spinal subarachnoid hematoma following spinal anesthesia in a patient with HELLP syndrome","volume":"19","author":"Koyama","year":"2010","journal-title":"Int J Obstet Anesth"},{"key":"10.25259\/SNI_413_2025\/ref-9","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1365-2044.2007.05368.x","article-title":"Subarachnoid haematoma after spinal anaesthesia mimicking transient radicular irritation: A case report and review","volume":"63","author":"Lam","year":"2008","journal-title":"Anaesthesia"},{"key":"10.25259\/SNI_413_2025\/ref-10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.2176\/nmc.46.258","article-title":"Lumbosacral subdural hematoma. 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