BACKGROUND AND OBJECTIVES: Only few reports in literature have pointed out to the possibility of a cranial subdural haematoma formation associated with dural puncture during spinal orepidural analgesia. We herein describe such a rare case who was diagnosed to have @entity6477 after combined spinal-epidural anaesthesia used in labour. CASE REPORT: A 34-year-old, primigravid @entity1 with a gestation of 38 weeks underwent cae-sarean section under combined spinal-epidural anaesthesia and gave birth to a healthy @entity1 . Thirty-two hours after delivery, her moderate @entity10 progressed to a severe @entity10 associated with @entity390 and @entity391 and later was more complicated with a generalized tonic-clonic @entity410 and ensuing lethargy. Computed tomography of the brain demonstrated a right-sided fronto-temporo-parietal @entity6477 with @entity4 . She under-went urgent FTP craniotomy and evacuation of the haematoma. Early postoperative cranial computed tomography showed a clean operative site. Eight days after subdural haematoma surgery, she became lethargic again, and this time cranial computed tomography disclosed anextradural haematoma under the bone flap for which she had to undergo surgery again. Two days later, she was discharged home with Karnofsky performance score of 90/100. At follow-up exam, she was neurologically intact and her cranial computed tomography and magnetic resonance were normal. CONCLUSIONS: As conclusion, with the use of this combined spinal-epidural anaesthesia, it should be kept in mind that @entity10 does not always mean low pressure @entity10 associated with spinal anaesthesia and that a catastrophic complication of subdural haematoma may also occur.

[Life-threatening XXXX after combinedspinal-epidural anaesthesia in labour].

@entity1 :: ('9606', 'Species') :: ['women', 'boy'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity4 :: ('MESH:D004487', 'Disease') :: ['diffuse cerebral oedema'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity6477 :: ('MESH:D020199', 'Disease') :: ['acute subdural haematoma'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache']
@entity6477 :: (MESH:D020199,Disease) :: ['acute subdural haematoma']
