Unrecognized dural puncture during epidural analgesia in obstetrics later confirmed by brain imaging

被引：8
|
作者：
Corbonnois, G. [1 ]
O'Neill, T. [1 ]
Brabis-Henner, A. [1 ]
Schmitt, E. [1 ]
Hubert, I. [1 ]
Bouaziz, H. [1 ]
机构：
[1] CHU Nancy, Hop Cent, Serv Anesthesie Reanimat Chirurg, F-54035 Nancy, France
来源：
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2010年 / 29卷 / 7-8期
关键词：
Dural puncture; Intracranial hypotension; Diplopia; Parturient; MRI; SPONTANEOUS INTRACRANIAL HYPOTENSION; HEADACHE; MANAGEMENT; ANESTHESIA; DIAGNOSIS; EVOLUTION; PALSY;
D O I：
10.1016/j.annfar.2010.06.002
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Accidental dural puncture is a well-recognized complication of obstetric epidurals that can potentially incapacitate the patient. Unrecognized dural puncture during epidural administration can lead to a delay in therapeutic intervention resulting in potentially serious complications. We report a case of a parturient who developed disabling intracranial hypotension and diplopia following accidental dural puncture during apparently uneventful epidural catheter insertion. Magnetic resonance neuroimaging was performed to confirm the diagnosis, and direct clinical management. We also discuss the role of neuroimaging in the investigation of postpartum headache. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：584 / 588
页数：5
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