CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Diemunsch, P.
Right arrow Articles by Treisser, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Diemunsch, P.
Right arrow Articles by Treisser, A.

Canadian Journal of Anesthesia, Vol 45, 328-331, Copyright © 1998 by Canadian Anesthesiologists' Society

ARTICLES

[Bilateral subdural hematoma following epidural anesthesia]

P Diemunsch, VP Balabaud, C Petiau, C Marescaux, A Muller, J Valfrey and A Treisser
Departement d'Anesthesie GEPAR, Hopitaux Universitaires de Strasbourg, France.

PURPOSE: The authors report a case of bilateral subdural hematoma (SDH) which occurred following epidural analgesia for labour, complicated by post dural puncture headache (PDPH). Physiopathological mechanisms are discussed. CLINICAL FEATURES: A 27-yr-old woman displayed typical PDPH following epidural anaesthesia. On the fifth day she was given a blood patch (BP) which proved immediately effective. Further developments were marked by late recurrence of PDPH and by administration of a second BP on the 24th day. With the aggravation of the headaches, the disappearance of their postural nature and with the appearance of transitory focal neurological signs on the 30th day, a CT-Scan was done and showed bilateral subdural haematoma. Following surgical drainage, the patient made an uneventful recovery. CONCLUSION: The presence of PDPH complicated by a typical neurological deterioration should prompt the anaesthetist to seek an immediate clinical and x-ray diagnosis in order to look for the existence of intracranial complications.


This article has been cited by other articles:


Home page
 Obstet GynecolHome page
J. Woitzik, M. Barth, and J. Tuettenberg
Persistent postpartum headache from a chronic subdural hematoma after peridural anesthesia.
Obstet. Gynecol., September 1, 2006; 108(3 Pt 2): 808 - 809.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
D. K. Turnbull and D. B. Shepherd
Post-dural puncture headache: pathogenesis, prevention and treatment
Br. J. Anaesth., November 1, 2003; 91(5): 718 - 729.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
R. G. Wheatley, S. A. Schug, and D. Watson
Safety and efficacy of postoperative epidural analgesia
Br. J. Anaesth., July 1, 2001; 87(1): 47 - 61.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
J. M. Davies, A. Murphy, M. Smith, and G. O'Sullivan
Subdural haematoma after dural puncture headache treated by epidural blood patch
Br. J. Anaesth., May 1, 2001; 86(5): 720 - 723.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the Canadian Anesthesiologists' Society.