ABSTRACT
In obstetric patients undergoing spinal anesthesia, intracranial subdural hematoma is a rare yet serious complication. This report highlights a case of acute subdural hematoma occurring 14 days after spinal anesthesia for cesarean section. Initially, the condition mimicked a post-dural puncture headache but gradually worsened. The patient experienced a seizure, prompting urgent cranial computerised tomography imaging, which revealed a subdural hematoma. An emergency craniotomy was performed to evacuate the hematoma. Neurological symptoms necessitated thorough investigation for intracranial pathologies. Fortunately, the patient recovered fully without sequelae. This case emphasizes the importance of vigilance for intracranial hematoma in clinical practice following spinal anesthesia.