Bilateral subdural hematoma secondary to accidental dural puncture

Revista Brasileira de Anestesiologia

Sofía Ramírez¹  Elena Gredilla¹  Blanca Martínez¹  Fernando Gilsanz¹ 

关键词: Accidental dural puncture;    Epidural analgesia;    Post-dural puncture headache;    Subdural hematoma;    Epidural blood patch;    Dura-máter;    Analgesia epidural;    Cefaleia pós-punção dural;    Hematoma subdural;    Placa de sangue epidural;    Punción dural accidental;    Analgesia epidural;    Cefalea pospunción dural;    Hematoma subdural;    Parche hemático epidural;   

DOI  :  10.1016/j.bjane.2014.07.017

来源: SciELO

【 摘 要 】

We report the case of a 25-year-old woman, who received epidural analgesia for labor 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 neurological deficit, should raise the suspicion of a subdural hematoma, which although is rare, can be lethal if not diagnosed and treated at the right time.

【 授权许可】

CC BY-NC-ND   
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