• Ann Fr Anesth Reanim · Jul 2010

    Case Reports

    Unrecognized dural puncture during epidural analgesia in obstetrics later confirmed by brain imaging.

    • G Corbonnois, T O'Neill, A Brabis-Henner, E Schmitt, I Hubert, and H Bouaziz.
    • Service d'anesthésie-réanimation chirurgicale, hôpital Central, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France.
    • Ann Fr Anesth Reanim. 2010 Jul 1;29(7-8):584-8.

    AbstractAccidental dural puncture is a well-recognized complication of obstetric epidurals that can potentially incapacitate the patient. Unrecognized dural puncture during epidural administration can lead to a delay in therapeutic intervention resulting in potentially serious complications. We report a case of a parturient who developed disabling intracranial hypotension and diplopia following accidental dural puncture during apparently uneventful epidural catheter insertion. Magnetic resonance neuroimaging was performed to confirm the diagnosis, and direct clinical management. We also discuss the role of neuroimaging in the investigation of postpartum headache.Copyright 2010 Elsevier Masson SAS. All rights reserved.

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