Pneumocephalous: Radiological Presentation of Intra-cranial Hypotension after Spinal Anaesthesia
Isra Khan, Emad Alvi, Saifullah Khalid, Sameera Khanam, Saad Mohammad, Mohammad Nasim Khan
International Journal of Medical and Pharmaceutical Case Reports · pp. 31–34 · Published 2 Aug 2023
10.9734/ijmpcr/2023/v16i3338Abstract
Pneumocephalus is a commonly encountered entity in patients of head trauma and post-op cases of neurosurgery, however it is rarely observed after spinal anaesthesia. It commonly presents orthostatic hypotension associated with severe headache, nausea and vomiting. We report a case of pneumocephalus following spinal anaesthesia administered for open hernia repair. The proposed mechanisms of pneumocephalus secondary to spinal tapping are the ball-valve mechanism (1) and the inverted soda-bottle effect (2).
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