Cranial subdural haematoma associated with dural puncture in labour.
Br J Anaesth
; 84(4): 518-20, 2000 Apr.
Article
in En
| MEDLINE
| ID: mdl-10823109
ABSTRACT
A 23-yr-old primagravida sustained a dural puncture during epidural catheter insertion and developed a headache that settled with oral diclofenac and codydramol. On the third day after delivery, she convulsed twice without warning. As plasma urate was increased, the putative diagnosis of an eclamptic fit was made, and magnesium therapy was started. A contrast CT scan revealed that the cause of the patient's symptoms was a subdural haematoma with raised intracranial pressure. A coincidental arteriovenous malformation was noted. This case emphasises the need to consider the differential diagnoses of post-partum headache. The management of acute intracranial haematoma is described.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Analgesia, Epidural
/
Analgesia, Obstetrical
/
Hematoma, Subdural, Acute
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Br J Anaesth
Year:
2000
Document type:
Article
Affiliation country:
United kingdom