Bilateral Subdural Hematoma after Inadvertent Dural Puncture during Epidural Analgesia
| Autor: | Roman Nepomuceno, Anthony M. Herd |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Benign condition Adolescent business.industry Rest Inadvertent dural puncture medicine.disease Subdural Hematomas Magnetic Resonance Imaging Surgery Analgesia Epidural body regions Hematoma Pregnancy Hematoma Subdural Intracranial Emergency Medicine medicine Analgesia Obstetrical Humans Female Post-Dural Puncture Headache Emergency Service Hospital Complication business Glucocorticoids |
| Zdroj: | The Journal of Emergency Medicine. 44:e227-e230 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/j.jemermed.2012.06.025 |
| Popis: | Background Post-dural puncture headache (PDPH) is typically a benign complication of dural puncture that is clinically diagnosed. It commonly presents as a throbbing and positional headache that occurs 24-48 h after dural puncture. Subdural hematomas, if unrecognized, may occur as a rare and life-threatening complication of dural puncture. Objectives We aim to describe the clinical features and sequelae of a rare complication that may result as a consequence of inadvertent dural puncture that, if unrecognized, has the potential to become a life-threatening complication from a common procedure. Case Report We report the case of a previously healthy 17-year-old primigravida female who initially presented 4 days postpartum with clinical features and imaging studies consistent with PDPH. The patient's symptoms were unremitting, and within 4 weeks, she developed bilateral subdural hematoma. With prompt recognition and diagnosis, she was treated with conservative medical management and subsequently improved on follow-up. Conclusion Patients with unremitting PDPH should prompt the clinician to suspect the development of subdural hematoma as a potential life-threatening complication of an otherwise benign condition. |
| Databáze: | OpenAIRE |
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