Postpartum Seizure after Epidural Blood Patch and Intravenous Caffeine Sodium Benzoate

Bolton, Vincent E.; Leicht, Craig H.; Scanlon, Thomas S.

doi:10.1097/00000542-198901000-00029

Cited by 60 publications

(18 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although these authors mentioned about caffeine toxicity, direct toxic effects of blood, changes of vascular reactivity, and infections in the etiology of seizures after EBP, they did not point out any factor specifically. In another reported case, postpartum seizure after postdural puncture headache and EBP was linked to application of intravenous caffeine sodium benzoate or coincident eclampsia (7). Although EBP was a possible cause of seizures in those reported postpartum cases, differential diagnosis of preeclampsia/eclampsia or structural brain diseases should be done perfectly to say the reason of seizure is EBP (5).…”

Section: Discussionmentioning

confidence: 96%

“…Theoretically, epidural infections, chemical or infectious meningitis and/or arachnoiditis can develop (5,6). There is a limited body of reports in the literature covering seizures after EBP in the treatment of SIH and the common point of those reports is the occurrence in postpartum cases (5,7,8). Kardash and colleagues (8) mentioned about seizures in a postpartum patient after EBP, however, this patient had subdural hematoma which was overlooked before EBP.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontan İntrakraniyal Hipotansiyonda Epidural Kan Yaması Uygulanması Sırasında Nöbet

...

2012

npa

View full text Add to dashboard Cite

R e cei ved / G e liş ta ri h i: 15.11.2010 Ac cep ted/ K a bul ta ri hi: 03.05.2011 © Arc hi ves of Neu ropsy chi atry, pub lis hed by Ga le nos Pub lis hing. / Nö rop si ki yat ri Ar fli vi Der gi si, Ga le nos Ya y› ne vi ta ra f›n dan ba s›l m›fl t›r. ÖZETİntrakranyal hipotansiyon, ortostatik baş ağrısı ve beyin omurilik sıvısı basıncının düşük olduğu bir sendromdur. Konservatif tedaviler yarar sağlamadığında epidural kan yamasının en etkili tedavi seçeneği olduğu düşünülmektedir. En sık karşılaşılabilecek komplikasyon geçici lomber ağrı olduğu için epidural kan yamasının güvenli olduğu düşünülmektedir. Burada, spontan intrakranyal hipotansiyon tanısı alan ve epidural kan yaması sırasında nöbet gelişen 53 yaşında kadın hastanın klinik bulguları sunulacaktır. Epidural kan yaması sonrasında nöbet daha önce de bildirilmiştir, fakat bu bildirilerin çoğu postpartum dönemdeki olgulardır. Hastamızda ise intrakranyal hipotansiyon spontan olarak gelişmişti. Gebelik ve spinal girişim öyküsü yoktu ve tüm yaşamı boyunca nöbet geçirmemişti. Hastamızda epidural kan yamasının en olası neden olduğunu ve nöbetin intracranial basınçtaki hızlı ve ani yükseliş ile ilişkili olduğunu düşünmekteyiz. Bununla beraber, intrakranyal basıncın kademeli arttırılması şartıyla yöntemin güvenli olduğunu söyleyebiliriz. (Nö rop si ki yat ri Ar fli vi 2012;49: 160-162) An ah tar ke li m e ler: Spontan intrakranyal hipotansiyon, epidural kan yaması, nöbet, intrakranyal basınç Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Spontan İntrakraniyal Hipotansiyonda Epidural Kan Yaması Uygulanması Sırasında Nöbet

...

2012

npa

View full text Add to dashboard Cite

show abstract

“…However, due to the stimulating effects of caffeine on the central nervous system, patients may experience insomnia that may attribute to a worsening of the headaches. There are several case reports that have documented seizures and decreased cerebral blood flow after administration of caffeine [11] [12]. In any cases of post-lumbar puncture headache that do not respond to conservative therapies, an epidural blood patch should be considered in a timely fashion for headache relief and to avoid life-threatening intracranial hypotension.…”

Section: Discussionmentioning

confidence: 99%

Subdural Hematoma and Postdural Puncture Headache from Intrathecal Pump Placement Resolved with Lumbar Epidural Blood Patch

Ng¹,

Romo²,

Wang³

2014

OJAnes

View full text Add to dashboard Cite

Intrathecal drug delivery systems are commonly used in the management of chronic pain, cancer pain and neuromuscular disorders with muscle spasticity. The complications associated with intrathecal pump placement include persistent cerebrospinal fluid (CSF) leak, hygroma, meningitis, and granuloma formation. A severe persistent CSF leak may cause postdural puncture headache along with acute intracranial subdural hematoma, which can be potentially life threatening. Surgical exploration with dural repair is required to treat this severe complication when conservative treatments fail. We present a case report of severe persistent CSF leak after intrathecal pump revision that resulted in a subdural hematoma and postdural puncture headache. In this case, an epidural blood patch was performed using epidural catheter under fluoroscopic guidance to target the site of CSF leak and to avoid damaging the intrathecal catheter. This patient's headache was resolved and intrathecal catheter remained intact after this blood patch.

show abstract

“…[8][9][10][11] With this case report, we suggest adding multiple sclerosis and PDPH to the list of possible predisposing factors and IV caffeine to the list of trigger factors for PRES. …”

Section: Discussionmentioning

confidence: 99%

Posterior Reversible Encephalopathy Syndrome after Intravenous Caffeine for Post–Lumbar Puncture Headaches: Fig 1.

Ortiz¹,

Bianchi²,

Tiede³

et al. 2008

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

SUMMARY:A 33-year-old woman developed severe post-lumbar puncture headaches in the course of work-up for multiple sclerosis. Immediately after receiving treatment with intravenous caffeine, she became blind and experienced a generalized tonic-clonic seizure. Brain MR imaging then showed vasogenic parieto-occipital edema. She recovered clinically and radiologically within 72 hours. After 1 year of follow-up, there was no recurrence of symptoms or radiologic changes.

show abstract

Postpartum Seizure after Epidural Blood Patch and Intravenous Caffeine Sodium Benzoate

Cited by 60 publications

References 0 publications

Spontan İntrakraniyal Hipotansiyonda Epidural Kan Yaması Uygulanması Sırasında Nöbet

Spontan İntrakraniyal Hipotansiyonda Epidural Kan Yaması Uygulanması Sırasında Nöbet

Subdural Hematoma and Postdural Puncture Headache from Intrathecal Pump Placement Resolved with Lumbar Epidural Blood Patch

Posterior Reversible Encephalopathy Syndrome after Intravenous Caffeine for Post–Lumbar Puncture Headaches: Fig 1.

Contact Info

Product

Resources

About