Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia: A case report.
- Author:
Su Yeon LEE
1
;
Su Yeon KIM
;
Min Young KIM
;
Seo Min PARK
;
Yun Sic BANG
;
Hyun Sook LEE
;
Yong In KANG
;
Eun Chi BANG
;
Kyung Sook CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Gangnam Medical Center, CHA University, Seoul, Korea. smilesue82@naver.com
- Publication Type:Case Report
- Keywords:
Dural puncture;
Epidural analgesia;
Intracerebral hemorrhage;
Pneumocephalus
- MeSH:
Analgesia, Epidural;
Anesthesia, General;
Blood Patch, Epidural;
Brain;
Cerebral Hemorrhage;
Cesarean Section;
Eclampsia;
Emergencies;
Female;
Intensive Care Units;
Labor Pain;
Pneumocephalus;
Pregnancy;
Punctures;
Seizures
- From:Anesthesia and Pain Medicine
2013;8(1):55-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Epidural analgesia is frequently used for control of labor pain. Seizure of parturient could be misdiagnosed as eclampsia. A parturient presented a generalized tonic clonic seizure during first stage of labor in two and a half hour after dural puncture and epidural blood patch. She had received an emergency cesarean section under general anesthesia and had another seizure during transfer to the intensive care unit. A brain computed tomography showed intracerebral hemorrhage and pneumocephalus. After conservative treatment, she could discharge without any sequelae in 13 days. The anesthesiologists should be aware of the possibility of intracerebral hemorrhage when they confront a seizure of parturient although there is no evidence of relation between dural puncture and intracerebral hemorrhage.
