Intracranial subdural hematoma due to accidental dural puncture during labor analgesia in nulliparous women: A case report
Abstract
Post-dural puncture headache (PDPH) is a common complication of epidural anesthesia, especially after accidental dural puncture (ADP), while intracranial subdural hematoma (ISH) is a rare but serious complication. In this report, we describe the case of a 31-year-old pregnant woman who received epidural anesthesia during labor, and accidentally had a dural puncture, resulting in headache and subdural hematoma. A burr hole drainage was performed. The drainage tube was removed 8 days later, and she was discharged after her condition improved. Intracranial hemorrhage after accidental epidural puncture is very rare, and this potentially life-threatening complication needs to be taken seriously.
Fields of Study & Subjects
Neurosurgical Procedures and Complications
Anesthesia and Pain Management
Traumatic Brain Injury and Neurovascular Disturbances
Publication details
- Journal / source
- Saudi Journal of Anaesthesia
- Volume
- 20
- Issue
- 1
- Pages
- 204–206
- Publication date
- 1 January 2026
- Language
- EN