Acute subdural haematoma after accidental dural puncture during epidural anaesthesia

Kayacan, Nurten; Arıcı, G; Karslı, Bilge; Erman, Meliha

doi:10.1016/j.ijoa.2003.06.001

Cited by 42 publications

(31 citation statements)

References 7 publications

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“…Also, review of the literature disclosed 21 cases of subdural hematoma after unintentional dural puncture following epidural anesthesia (Table 2), 2,10,12,32-49 the most recent being reported by Kayacan et al 49 Nineteen of these 21 cases were obstetric patients. The earliest diagnosis of subdural hematoma was two days after epidural anesthesia and the latest was 20 weeks.…”

Section: Discussionmentioning

confidence: 99%

Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature

Zeidan

Farhat

Maaliki

et al. 2006

International Journal of Obstetric Anesthesia

144

120

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Section: Discussionmentioning

confidence: 99%

Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature

Zeidan

Farhat

Maaliki

et al. 2006

International Journal of Obstetric Anesthesia

144

120

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“…Symptomatic seizure after spinal anesthesia [15,16], combined spinal-epidual anesthesia [17], and accidental dural puncture during epidural anesthesia [18,19] have previously been reported. In these cases, intracranial hemorrhage after spinal and epidural anesthesia led to seizure.…”

Section: Discussionmentioning

confidence: 97%

A case report of seizure during emergence from general anesthesia after lumbar spinal surgery—common cases can develop potentially life-threatening adverse intracranial events

et al. 2018

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Background: Adverse intracranial events after spinal surgery were related with intracranial hypotension due to surgical injury of dura mater. Case presentation: A 72-year-old woman received posterior lumbar interbody fusion under general anesthesia. Immediately after the patient was transitioned to the supine position and muscular relaxants were reversed, she developed generalized seizure. The seizure was immediately suppressed with propofol. Brain computed tomography was unremarkable. Although she returned to the surgical suite, an evident point of dural laceration was not found. The dura was covered with fibrin glue. Magnetic resonance imaging revealed subarachnoid hemorrhage (SAH) on postoperative day 1. By postoperative day 2, the seizure had resolved. The cause of her seizure was suspected to be SAH due to intracranial hypotension. Seizure was masked by ongoing anesthesia and muscle relaxation. Conclusions: Although spinal surgeries are common procedure, we must carefully consider its related potentially life-threatening adverse events.

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“…La mayoría de las veces, hematomas pequeños (< 5 mm) y poco sintomáticos responden clínica y radiológi-camente de manera satisfactoria con el tratamiento médico conservador. Por otro lado, pacientes con hematomas de mayor tamaño y deterioro neurológico marcado requieren habitualmente drenaje quirúrgico urgente 9,10 . En nuestro caso, la paciente no presentó focalidad neurológica, por lo que se decidió una actitud conservadora, obteniendo buenos resultados clínicos.…”

Section: Discussionunclassified

Hematoma subdural bilateral secundario a punción dural accidental

Ramírez

Gredilla

Martínez

et al. 2015

Brazilian Journal of Anesthesiology (Edicion en Espanol)

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Recibido el 25 de mayo de 2014; aceptado el 4 de julio de 2014 PALABRAS CLAVEPunción dural accidental; Analgesia epidural; Cefalea pospunción dural; Hematoma subdural; Parche hemático epidural Resumen Presentamos el caso clínico de una paciente de 25 años de edad, a quien se le realizó una técnica epidural durante el trabajo de parto y posteriormente presentó cefalea con características de cefalea pospunción dural. Se inició tratamiento conservador y se realizó parche hemático epidural. Ante la falta de mejoría clínica y debido al cambio en el componente postural de la cefalea, se decidió realizar una prueba de imagen cerebral que demostró la presencia de hematoma subdural bilateral.La cefalea pospunción dural es relativamente frecuente, pero la falta de respuesta al tratamiento médico instaurado, así como el cambio en sus características y la presencia de focalidad neurológica, deben hacer sospechar la presencia de un hematoma subdural que, aunque infrecuente, puede llegar a ser devastador si no se diagnostica y trata oportunamente. KEYWORDSAccidental dural puncture; Epidural analgesia; Post-dural puncture headache; Subdural hematoma; Epidural blood patch Bilateral subdural hematoma secondary to accidental dural puncture Abstract We report the case of a 25-year-old woman, who received epidural analgesia for labour pain and subsequently presented post-dural puncture headache. Conservative treatment was applied and epidural blood patch was performed. In the absence of clinical improvement and due to changes in the postural component of the headache, a brain imaging test was performed showing a bilateral subdural hematoma.The post-dural puncture headache is relatively common, but the lack of response to established medical treatment as well as the change in its characteristics and the presence of * Autora para correspondencia. Correo electrónico: sofiramirez@gmail.com (S. Ramírez).

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Acute subdural haematoma after accidental dural puncture during epidural anaesthesia

Cited by 42 publications

References 7 publications

Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature

Does postdural puncture headache left untreated lead to subdural hematoma? Case report and review of the literature

A case report of seizure during emergence from general anesthesia after lumbar spinal surgery—common cases can develop potentially life-threatening adverse intracranial events

Hematoma subdural bilateral secundario a punción dural accidental

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