Robert J McDougall1,2, Richard Barnes3, R Andrew Danks4, Michael Ditchfield4. 1. Department of Paediatrics, University of Melbourne, Murdoch Childrens Research Institute, Melbourne, Australia. rob.mcdougall@rch.org.au. 2. Department of Anaesthesia and Pain Management, Royal Children's Hospital, Parkville, VIC, Australia. rob.mcdougall@rch.org.au. 3. Monash Health, Clayton, Australia. 4. Department of Surgery, Monash University, Clayton, Australia.
Abstract
INTRODUCTION: Subdural haematoma (SDH) is rare following spinal anaesthesia and has not been reported previously in an infant. Non-accidental injury is the commonest cause of subdural haematoma in infants. METHODS: We describe two cases of SDH following spinal anaesthesia in infants. RESULTS: In both cases, forensic investigation was commenced and no evidence of child abuse was found. Both children are well 2 years after diagnosis. CONCLUSION: Paediatric health workers should be aware of the possibility of SDH after spinal anaesthesia and consider this as a differential diagnosis when investigating possible non-accidental injury in an infant.
INTRODUCTION:Subdural haematoma (SDH) is rare following spinal anaesthesia and has not been reported previously in an infant. Non-accidental injury is the commonest cause of subdural haematoma in infants. METHODS: We describe two cases of SDH following spinal anaesthesia in infants. RESULTS: In both cases, forensic investigation was commenced and no evidence of child abuse was found. Both children are well 2 years after diagnosis. CONCLUSION: Paediatric health workers should be aware of the possibility of SDH after spinal anaesthesia and consider this as a differential diagnosis when investigating possible non-accidental injury in an infant.
Authors: Robert K Williams; Ian H Black; Diantha B Howard; David C Adams; Donald M Mathews; Alexander F Friend; H W Bud Meyers Journal: Anesth Analg Date: 2014-09 Impact factor: 5.108