{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:46:26Z","timestamp":1726505186277},"reference-count":15,"publisher":"California Digital Library (CDL)","issue":"1","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: An acute subdural hematoma is a collection of blood in the space between the dural and arachnoid membranes overlying the brain. Head trauma is the most common cause. Less frequently, low cerebrospinal fluid pressure, due to a spontaneous or iatrogenic cerebrospinal fluid leak can result in a subdural hematoma.\n\nCase Report: We discuss the case of a 26-year-old woman who presented with a frontal headache following epidural anesthesia for vaginal delivery. The differential diagnosis included spinal headache, postpartum hypercoagulability, dural sinus thrombosis, and intracranial hemorrhage or mass. Her vital signs and physical examination were normal. A computed tomography of the brain revealed an acute subdural hematoma along the left frontal cerebral hemisphere, without midline shift or mass effect. A blood patch was placed with complete resolution of her symptoms.\n\nConclusion: This case illustrates an unusual case of an acute subdural hematoma in the postpartum period following epidural anesthesia for labor pain management. It was thought to be caused by intracranial hypotension following epidural anesthesia and a cerebrospinal fluid leak.<\/jats:p>","DOI":"10.5811\/cpcem.2023.1.59331","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:51:30Z","timestamp":1677027090000},"page":"39-42","source":"Crossref","is-referenced-by-count":1,"title":["Acute Intracranial Subdural Hematoma Masquerading as a Postpartum Headache: A Case Report"],"prefix":"10.5811","volume":"7","author":[{"given":"Julie","family":"Tondt","sequence":"first","affiliation":[{"name":"Penn State Health Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Counselman","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bono","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"ref0","unstructured":"Vincent RD Jr and Chestnut DH. Epidural analgesia during labor. Am Fam Physician. 1998;58(8):1785-92."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"American Society of Anesthesiologists: Obstetric Anesthesia Committee. Statement on Post-Dural Puncture Headache Management. Available at: https:\/\/www.asahq.org\/standards-and-guidelines\/statement-on-post-dural-puncture-headache-management. 2021. Accessed April 26, 2022.","DOI":"10.1097\/00132582-200020010-00046"},{"key":"ref2","unstructured":"Osterman MJK and Martin JA. Epidural and spinal anesthesia use during labor: 27 state reporting area, 2008. Natl Vital Stat Rep. 2011;59(5):1-13,16."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Kale A, Emmez H, Pi\u015fkin \u00d6, et al. Postdural puncture subdural hematoma or postdural puncture headache? Two case reports. Korean J Anesthesiol. 2015;68(5):509-12.","DOI":"10.4097\/kjae.2015.68.5.509"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd ed. Cephalalgia. 2018;38(1):1-211.","DOI":"10.1177\/0333102417738202"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Amorim JA, Rem\u00edgio DS, Dam\u00e1zio Filho O, et al. Intracranial subdural hematoma post-spinal anesthesia: report of two cases and review of 33 cases in the literature. Braz J Anesthesiol. 2010;60(6):620-9.","DOI":"10.1016\/s0034-7094(10)70077-5"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Szeto V, Kosirog J, Eilbert W. Intracranial subdural hematoma after epidural anesthesia: a case report and review of the literature. Int J Emerg Med. 2018;11(1):36.","DOI":"10.1186\/s12245-018-0199-2"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Harrington BE and Reina MA. Postdural puncture headache. NYSORA. 2018. Available at: https:\/\/www.nysora.com\/topics\/complications\/postdural-puncture-headache\/. Accessed May 21, 2022.","DOI":"10.1093\/med\/9780198713333.003.0027"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Kwak KH. Postdural puncture headache. Korean J Anesthesiol. 2017;70(2):136-43.","DOI":"10.4097\/kjae.2017.70.2.136"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Turnbull DK and Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 2003;91(5):718-29.","DOI":"10.1093\/bja\/aeg231"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Gurudatt CL. Unintentional dural puncture and postdural puncture headache: Can this headache of the patient as well as the anaesthesiologist be prevented? Indian J Anaesth. 2014;58(4):385-7.","DOI":"10.4103\/0019-5049.138962"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Goldszmidt E, Kern R, Chaput A, et al. The incidence and etiology of postpartum headaches: a prospective cohort study. Can J Anaesth. 2005;52(9):971-7.","DOI":"10.1007\/bf03022061"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Vien C, Marovic P, Ingram B. Epidural anesthesia complicated by subdural hygromas and a subdural hematoma. Case Rep Anesthesiol. 2016;2016:5789504.","DOI":"10.1155\/2016\/5789504"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Scott DB and Hibbard BM. Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth. 1990;64(5):537-41.","DOI":"10.1093\/bja\/64.5.537"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Cuypers V, Van de Velde M, Devroe S. Intracranial subdural haematoma following neuraxial anaesthesia in the obstetric population: a literature review with analysis of 56 reported cases. Int J Obstet Anesth. 2016;25:58-65.","DOI":"10.1016\/j.ijoa.2015.09.003"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:51:38Z","timestamp":1677027098000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9hf614xv"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,9]]},"references-count":15,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,2,23]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2023.1.59331","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2023,2,9]]}}}