Abstract
administered with hyperbaric bupivacaine 0.5%, 2.3 ml and fentanyl 15 mcg. Surgery proceeded uneventfully, patient remained haemodynamically stable and anaesthesia recovery was uncomplicated. Postoperative pain was managed with oral paracetamol, mefenamic acid and patient-controlled intravenous morphine. Satisfaction for anaesthesia was found to be high due to good maternal and foetal outcome. Discussion General anaesthesia for Caesarean section in patients with intracranial haemorrhage has been described. However, because of the rarity of the condition, there is no consensus with regards to optimal anaesthetic care. Despite the numerous advantages that spinal anaesthesia can offer, the authors did not find any precedent reports in the literature. In addition to the known risks of the spinal anaesthesia, post-duralpuncture headache (PDPH) may be difficult to diagnose in a patient with existing headaches. Practitioners are required to remain vigilant, because worsening headache, due to PDPH, may confound the evaluation of re-bleed in intracranial aneurysm. Conclusion In a patient, with recent SAH and minimal neurological deficit undergoing emergency Caesarean section, spinal anaesthesia should be considered, as it has multiple advantages.
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