Post spinal meningitis with subdural collection: an uncommon complication after spinal anaesthesia for caesarean section
Meningitis after spinal anaesthesia is a rare yet devastating complication of spinal anaesthesia. The exact incidence is unknown. Our patient developed signs and symptoms of meningitis 48 hours after spinal anaesthesia and required intensive care unit admission. Her cerebrospinal fluid was sterile. Computed tomography of brain showed left subdural collection. She recovered well after 6 weeks of intravenous antibiotics. No neurological sequela noted from subsequent follow-up examinations. Our case provides an important insight of meningitis with subdural collection after spinal anaesthesia for emergency caesarean section.
Baer ET. Post–dural puncture bacterial meningitis. Anesthesiology. 2006;105(2):381-393. https://www.ncbi.nlm.nih.gov/pubmed/16871073
Burke D, Wildsmith JA. Meningitis after spinal anaesthesia. Br J Anaesth. 1997;78(6):635–636. https://www.ncbi.nlm.nih.gov/pubmed/9215011
Doghmi N, Meskine A, Benakroute A, Bensghir M, Baite A, Haimeur C. Aseptic meningitis following a bupivacaine spinal anesthesia. Pan Afr Med J. 2017;27:192. https://doi.org/10.11604/pamj.2017.27.192.9327
Fijter S, DiOrio M, Carmean J, Schaffzin J. Bacterial meningitis after intrapartum spinal anesthesia-New York and Ohio, 2008-2009. MMWR Morb Mortal Wkly Rep. 2010;59(3):65-69. https://www.ncbi.nlm.nih.gov/pubmed/20110933
Gherardi S, Sher S, Monzani R. Case Report: A Case of Meningitis of Undetermined Origin Following Spinal Anaesthesia. Ambul Surg. 2008;14(3):60-61.
Govardhane BT, Jambotkar TC, Magar JS. Meningitis following spinal anesthesia. Med J DY Patil Univ. 2015;8:513-514. https://doi.org/10.4103/0975-2870.160818
Hashemi R, Okazi A. Iatrogenic meningitis after spinal anesthesia. Acta Medica Iranica. 2008;46(5):434–436.
Hebl JR. The importance and implications of aseptic techniques during regional anesthesia. Reg Anesth Pain Med. 2006;31(4):311–323. https://doi.org/10.1016/j.rapm.2006.04.004
Lambert DH. Complications of spinal anesthesia. Int Anesthesiol Clin. 1989;27(1):51-55.
Lee JJ, Parry H. Bacterial meningitis following spinal anaesthesia for caesarean section. Br J Anaesth. 1991;66(3):383–386. https://www.ncbi.nlm.nih.gov/pubmed/2015156
Schweiger V, Zanconato G, Lonati G, Baggio S, Gottin L, Polati E. Intracranial subdural hematoma after spinal anesthesia for cesarean section. Case Rep Obstet Gynecol. 2013;2013:253408. https://doi.org/10.1155/2013/253408
Singh J, Kazal S, Kapoor D. Bupivacaine induced aseptic meningitis following subarachnoid block. Anaesth Pain & Intensive Care. 2015;19(1):65-67.
Srivastava U, Agrawal A, Gupta A, Dwivedi Y. Intracranial subdural hematoma after spinal anesthesia for cesarean section: Case report and review of literature. advbioresnet. 2014;4(1):45-47. https://doi.org/10.4103/2249-4472.132826
Videira R, Ruiz-Neto PP, Brandao Neto M. Post spinal meningitis and asepsis. Acta Anaesthesiol Scand. 2002;46(6):639-646. https://doi.org/10.1034/j.1399-6576.2002.460602.x
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