Pneumocephalus during continuous epidural block

Kasai, Kyomi; Osawa, Masami

doi:10.1007/s00540-006-0446-1

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…[3,4] Some authors indicated surgical etiology for this, which was previously attributed to thoracic epidural injection. [5] Moreover, in obese patients, the epidural space is reduced due to presence of excessive fat and distended and tortuous epidural veins; therefore, there are more chances of dural breach.…”

Section: Discussionmentioning

confidence: 97%

Headache and seizures after cervical epidural injection in a patient undergoing coronary artery bypass grafting

et al. 2012

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Epidural analgesia is widely used in cardiothoracic surgery. Most of the complications associated with epidural analgesia are related to the insertion techniques of epidural catheter. A 68-year-old obese patient posted for coronary artery bypass grafting surgery developed headache followed by seizures after insertion of the thoracic epidural catheter. Magnetic resonance imaging revealed air in the basal cisterns and in the left frontal region. The patient was managed conservatively and the symptoms subsided after 24 h. Later, the patient underwent coronary angioplasty.

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Section: Discussionmentioning

confidence: 97%

Headache and seizures after cervical epidural injection in a patient undergoing coronary artery bypass grafting

et al. 2012

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“…The common symptoms and signs of pneumocephalus are sudden-onset headache, unconsciousness, dizziness, hemiparesis, or generalized tonic-clonic seizure. Pneumocephalus headache has been reported immediately after the puncture of the dural breach [4]. Some symptoms of pneumocephalus are due to increased intracranial pressure.…”

Section: Discussionmentioning

confidence: 99%

Pneumocephalus and Seizure in Patient after Epidural Lumbar Puncture: Case Report

Azhideh

Ashrafi

Ommi

et al. 2020

AACC

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Lumbar epidural analgesia is using widely as an alternative method for anesthesia. Although it has its benefits such as the low risk of complications in contrast with general anesthesia, also it has some adverse effects, for instance: headache, loss of consciousness, pneumocephalus, dizziness, and seizure. Pneumocephalus is a rare complication of lumbar epidural block. In this case of study, a patient represents stenosis in the site of anastomosis of colon and duodenum candidate for a repair surgery with the lumbar epidural block. Epidural catheter insertion was done in the sitting position; local anesthesia was administered at the 4th and 5th lumbar vertebral interspace. A 17-gauge Husted needle was inserted using the loss-of resistance (LOR) by air technique. Immediately the patient complained of headaches and then deteriorated to a tonic-clonic movement accompanied by post-seizure sleep, which ended up in termination of the procedure. The first-day CT-scan revealed multiple pneumocephalus. Supporting treatment was administered for 10 days; another CT-scan taken from the patient demonstrated improvement and the patient was discharged without any neurological deficit. Regional analgesia should be administered if possible under the superintendence of an expert, however, complications of an epidural catheter, such as accidental dural puncture, can postpone the recovery of the patient.

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“…(10) Bizim olgumuzda da duranın delinmesi ile ani frontal baş ağrısı hissedilmiştir fakat BOS gelişi gözlenmemiştir Kasaive ark. (14) bildirdikleri olguda da pnömosefa-li tespit edilmesine rağmen, epidural kateter takılması sırasında BOS gelişi tespit edilememiştir. Hava ile direnç kaybı yön-temiyle yapılan diğer epidural anestezi olgularda da ani baş ağrısı bildirilmiştir.…”

Section: Discussionunclassified

“…Literatür taramasında direnç kaybı yönteminin hava veya sıvı ile yapılması konusunda tam bir düşünce birliği yoktur. (1,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)18) Bu olguda hava ile direnç kaybı tekniğinin kullanılmasında belirgin bir komplikasyon yaşanmıştır. Epidural kateterin hava ile direnç kaybı yöntemiyle takılmasında baş ağrısı sıklığının ve pnömosefaliden kaynaklanacak komplikasyonların daha sık görüleceği düşünülmektedir.…”

Section: Discussionunclassified

Pneumocephalus: A Rare Complication of Epidural Catheter Placement

Oğuzalp¹,

Ömür²,

Oguzalp³

2011

J Turk Anaesth Int Care

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ÖZETEpidural anestezi ve analjeziye bağlı çeşitli komplikasyonlar gelişebilir. Pnömosefali'de epidural kateter takılması sırasında gelişen ve ender görülen bir komplikasyonudur. Bu olgu sunumunda 65 yaşında akciğer kanser tedavisi gö-ren hastanın sol bacaktaki ağrısı için epidural kateter takılması sırasında ani gelişen ve daha sonra kaybolan baş ağrısı ile kateter takılmasından 3 gün sonra künt, sürekli, hareketle artan, yatınca geçmeyen frontal baş ağrısına eşlik eden konfüzyon, oryantasyon bozukluğu bulguları saptanan bir pnömosefali olgusunu sunmayı amaçladık. Anahtar kelimeler: Epidural kateter takılması, pnömosefali SUMMARY Pneumocephalus: A Rare Complication of Epidural Catheter PlacementDepending on epidural anesthesia and analgesia may develop various complications. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 65 years old patient being treated for lung cancer, during epidural catheter insertion for pain in his left leg a sudden onset of headache then lost. From 3 days after insertion of epidural catheter a blunt, continuous, increasing with movement, sleep late when not accompanied by frontal headache, confusion, disorientation detected signs.We aimed to present a case of pneumocephalus.

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Pneumocephalus during continuous epidural block

Cited by 5 publications

References 13 publications

Headache and seizures after cervical epidural injection in a patient undergoing coronary artery bypass grafting

Headache and seizures after cervical epidural injection in a patient undergoing coronary artery bypass grafting

Pneumocephalus and Seizure in Patient after Epidural Lumbar Puncture: Case Report

Pneumocephalus: A Rare Complication of Epidural Catheter Placement

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