Original ArticlesFatal Acute Intracranial Subdural Hematoma After Spinal Anesthesia for Cesarean Delivery Case Report and Review of the LiteratureGioia, Sara MD∗; Mirtella, Dora MD†; Lancia, Massimo MD‡; Suadoni, Fabio MD§; Cingolani, Mariano MD∥Author Information From the ∗School of PhD †Section of Legal Medicine, University of Macerata, Macerata ‡Section of Legal Medicine, University of Perugia, Perugia §Section of Legal Medicine, University of Perugia, Terni ∥Section of Legal Medicine, University of Macerata, Macerata, Italy. Manuscript received April 26, 2019; accepted June 8, 2019. The authors report no conflict of interest. Reprints: Massimo Lancia, MD, Section Legal Medicine, University of Perugia, Perugia, Italy. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: December 2019 - Volume 40 - Issue 4 - p 381-385 doi: 10.1097/PAF.0000000000000505 Buy Metrics Abstract The authors report on the autopsy case of a 40-year-old primigravida without either coagulation disorders or anticoagulant/antiplatelet therapy, who developed a fatal intracranial subdural hematoma after spinal anesthesia (SA) for elective cesarean delivery for tocophobia. Intracranial subdural hematoma is the most dreaded complication of SA and is often misdiagnosed with postdural puncture headache. In this article, the authors discuss pathophysiological mechanisms and risk factors for the development of an intracranial subdural hematoma after SA and review the pertinent literature. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.