Postpartum Seizure and Ischaemic Stroke following Dural Puncture and Epidural Blood Patch

Abstract

A 33-year-old parturient experienced seizures, then an ischaemic stroke after caesarean section, while undergoing an epidural blood patch for dural puncture. A diagnosis of normotensive late postpartum eclampsia, with either a posterior reversible encephalopathy syndrome or postpartum vasculopathy, leading to stroke, was made-based primarily on a temporal relationship to the postpartum period and consistent findings on magnetic resonance imaging and angiography scans and an electroencephalogram. The difficulties in definitively elucidating the cause of seizures and cerebral infarction in the postpartum period and the impact of anaesthetic interventions in this case are discussed.

Kejang Post Partum di Rumah Sakit Tipe B: sebuah Manajemen Kasus Multidisiplin

“…6,7 Penyebab kejang post partum yang lain yang patut mendapat perhatian adalah dural puncture. [8][9][10] Pada kasus ini, pasien mengalami kejang pada hari kedelapan post partum seksio sesarea tanpa gejala pre-eklampsia atau eklampsia (kecuali proteinuria), dan tanpa gejala neurologis. Kondisi X-foto paru dengan gambaran perselubungan bilateral membuat kecurigaan infeksi Covid-19 dan Mendelson syndrome sempat mengemuka.…”