• Anesthesia and analgesia · Oct 2004

    Case Reports

    The diagnosis and treatment of a patient with puerperal infection and subdural hygromas.

    • Natàlia Aragonès, Antoni Arxer, María Vieito, Josefina Ros, Antonio Villalonga, and Xavier Ustrell.
    • Department of Anesthesia, Hospital Universitari Doctor Josep Trueta, Girona, Catalonia, Spain. anestesia@htrueta.scs.es
    • Anesth. Analg. 2004 Oct 1;99(4):1218-20, table of contents.

    AbstractWe describe a patient readmitted after developing a persistent postural headache resulting from an accidental lumbar puncture during labor 10 days earlier. Magnetic resonance imaging demonstrated bifrontal subdural hygromas and diffuse pachymeningeal enhancement. The patient had signs of a puerperal infection, and an epidural patch was performed with dextran 40 instead of blood, after which gradual improvement was noted. The patient was discharged totally asymptomatic 3 days later.

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