A Symptomatic Pneumocephalus as a Complication of Lumbar Epidural Anaesthesia

Pires, Ana Filipa and Mendes, Teresa and Reis, Ana and Pacheco, Ana and Fagundes, Vítor and Mesquita, Mari (2020) A Symptomatic Pneumocephalus as a Complication of Lumbar Epidural Anaesthesia. European Journal of Case Reports in Internal Medicine, 7 (2). ISSN 2284-2594

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Abstract

Introduction: Lumbar epidural anaesthesia is a commonly used technique for analgesia during labour. One of the rare complications of this technique is pneumocephalus. Case description: We report the case of a 35-year-old female admitted to the Emergency Department with severe headache associated with fast head movements. Five days previously she had a eutocic delivery and lumbar epidural anaesthesia was performed. A brain computed tomography (CT) scan showed pneumocephalus and she was admitted to the hospital ward. A brain CT scan on the fourth day of hospitalization showed resolution of ventricular pneumocephalus. Discussion: The most frequently occurring symptom with pneumocephalus is headache associated with fast brain motion resulting from air injection and meningeal irritation. When there is clinical suspicion of pneumocephalus, a brain CT scan should be performed for the diagnosis.

Item Type: Article
Uncontrolled Keywords: Pneumocephalus, lumbar epidural anaesthesia, post-dural puncture headache
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 09:57
Last Modified: 19 Nov 2020 09:57
URI: http://eprints.bice.rm.cnr.it/id/eprint/19849

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