Post spinal meningitis with subdural collection: an uncommon complication after spinal anaesthesia for caesarean section

  • Seng Wee Cheo Department of Internal Medicine, Hospital Lahad Datu, Sabah, Malaysia.
  • Qin Jian Low Department of Internal Medicine, Hospital Sultanah Nora Ismail, Johor, Malaysia.
  • Yee Ann Tan Neurology Unit, Hospital Queen Elizabeth, Sabah, Malaysia
  • Yuen Kang Chia Neurology Unit, Hospital Queen Elizabeth, Sabah, Malaysia
Keywords: meningitis, spinal anaesthesia, subdural collection

Abstract

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.

Author Biographies

Qin Jian Low, Department of Internal Medicine, Hospital Sultanah Nora Ismail, Johor, Malaysia.

General Physician in Hospital Sultanah Nora Ismail, Batu Pahat. 

Yee Ann Tan, Neurology Unit, Hospital Queen Elizabeth, Sabah, Malaysia

Medical Officer in Hospital Queen Elizabeth, Kota Kinabalu, Sabah.

Yuen Kang Chia, Neurology Unit, Hospital Queen Elizabeth, Sabah, Malaysia

Consultant Neurologist in Hospital Queen Elizabeht, Kota Kinabalu, Sabah.

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Published
2018-10-24
How to Cite
Cheo, S. W., Low, Q. J., Tan, Y. A. and Chia, Y. K. (2018) “Post spinal meningitis with subdural collection: an uncommon complication after spinal anaesthesia for caesarean section”, Neuroscience Research Notes, 1(2), pp. 10-14. doi: 10.31117/neuroscirn.v1i2.18.
Section
Case Notes