Acute subdural haematoma after accidental dural puncture during epidural anaesthesia
作者： N Kayacan , G Arıcı , B Karslı , M Erman
DOI: 10.1016/J.IJOA.2003.06.001
关键词:
摘要: A case is reported of acute intracranial subdural haematoma following accidental dural puncture during epidural anaesthesia. 36-year-old primigravida with a gestation 37 weeks and 3 days underwent caesarean section for which anaesthesia was initially planned. An 18-gauge Tuohy needle inserted into the L3-4 interspace but occurred. The removed general initiated surgery. On second day post partum, patient described headache in both occipital area neck that relieved by lying down. seventh post-partum she suffered tonic-clonic convulsions computerised tomography (CT). Despite different analgesic treatments normal CT, severe headaches days. Magnetic resonance imaging revealed 4-mm hematoma right frontal area. persisting decreased on 12 disappeared 14. discharged from hospital 15. presence complicated atypical neurological deterioration should prompt anaesthetist to consider existence complications seek immediate clinical radiological diagnosis.
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sci-hub.se 参考文章(11)
Botmans C, Palot M, Pire Jc, Visseaux H, Epidémiologie des complications de l'analgésie péridurale obstétricale Cahiers d'anesthésiologie. ,vol. 42, pp. 229- 233 ,(1994)
JG Jenkins, WJ Fawcett, EJ Williams, Efficacy of epidural blood patch in the obstetric population International Journal of Obstetric Anesthesia. ,vol. 8, pp. 105- 109 ,(1999) , 10.1016/S0959-289X(99)80007-7
B. Deglaire, P. Duverger, B. Muckensturm, F. Maissin, J.M. Desbordes, Hématome sous-dural aigu intracrânien après brèche dure-mérienne accidentelle lors d'une anesthésie péridurale Annales Francaises D Anesthesie Et De Reanimation. ,vol. 7, pp. 156- 158 ,(1988) , 10.1016/S0750-7658(88)80145-X
C.C. Loo, G. Dahlgren, L. Irestedt, Neurological complications in obstetric regional anaesthesia International Journal of Obstetric Anesthesia. ,vol. 9, pp. 99- 124 ,(2000) , 10.1054/IJOA.1999.0347
P. C. STRIDE, G. M. COOPER, Dural taps revisited. A 20-year survey from Birmingham Maternity Hospital. Anaesthesia. ,vol. 48, pp. 247- 255 ,(1993) , 10.1111/J.1365-2044.1993.TB06913.X
Pierre Diemunsch, Valérie Pichon Balabaud, Christophe Petiau, Christian Marescaux, André Muller, Jocelyne Valfrey, Alain Treisser, Hématome sous durai bilatéral après analgesie péridurale Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 45, pp. 328- 331 ,(1998) , 10.1007/BF03012023
D J Vaughan, C A Stirrup, P N Robinson, Cranial subdural haematoma associated with dural puncture in labour. BJA: British Journal of Anaesthesia. ,vol. 84, pp. 518- 520 ,(2000) , 10.1093/OXFORDJOURNALS.BJA.A013483
G M Stocks, D J Wooller, J M Young, R Fernando, Postpartum headache after epidural blood patch: investigation and diagnosis. BJA: British Journal of Anaesthesia. ,vol. 84, pp. 407- 410 ,(2000) , 10.1093/OXFORDJOURNALS.BJA.A013451
A Horcajadas-Almansa, J R Galdo-Abadín, J M Sánchez-Carrión, M Prieto-Cuéllar, M J García-Sánchez, J M Martín-Linares, Chronic subdural hematoma secondary to an accidental dural puncture during lumbar epidural anesthesia Revista española de anestesiología y reanimación. ,vol. 43, pp. 327- 329 ,(1996)
Neveling D, Thöns M, Hatzmann W, Intracerebral subdural hematoma after delivery with peridural catheter anesthesia Zeitschrift für Geburtshilfe und Perinatologie. ,vol. 197, pp. 235- 237 ,(1993)