RT Journal Article
SR Electronic
T1 Pneumocephalus After Accidental Dural Puncture During Epidural Anesthesia
JF Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP 193
OP 195
DO 10.1136/rapm-00115550-199318030-00012
VO 18
IS 3
A1 GonzáLez-Carrasco, F. J.
A1 NoguéS, S.
A1 Aguilar, J. L.
A1 Vidal-LóPez, F.
A1 Llubiá, C.
YR 1993
UL http://rapm.bmj.com/content/18/3/193.abstract
AB Background. Pneumocephalus developed in a 45-year-old woman after epidural anesthesia was performed to treat her low back pain. The cause was thought to be the loss of resistance to air technique. The clinical symptoms were immediate headache independent of posture, pallor, bradycardia, and hypotension. These symptoms disappeared during the first 24 hours with no neurologic sequelae.Conclusion. This case suggests that using the loss of resistance technique with saline versus air should prevent this complication, especially after unintentional dural puncture or when, in difficult placements, the technique is repeated frequently in the same patient.