Subarachnoid hemorrhage and pneumocephalus due to epidural anesthesia

Pneumocephaly occurring after epidural block is usually caused by either dural puncture or loss of resistance technique using air. [...]CSF can be immediately seen, when dural puncture is achieved [20]. Postdural puncture headache (PDPH) is the most common complication following epidural or spinal p...

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Published inThe American journal of emergency medicine Vol. 32; no. 8; pp. 945.e5 - 945.e7
Main Authors Güzel, Murat, MD, Salt, Ömer, MD, Erenler, Ali K., MD, Baydın, Ahmet, MD, Demir, Mehmet T., MD, Yalcin, Anil, MD, Doganay, Zahide, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2014
Elsevier Limited
Subjects
Adult
Analgesics
Anesthesia
Anesthesia, Epidural - adverse effects
Aneurysms
Brain - diagnostic imaging
Childbirth & labor
Emergency
Emergency medical care
Emergency Service, Hospital
Female
Headache - etiology
Hemorrhage
Humans
Medical imaging
Neuroimaging
Pain
Patients
Pneumocephalus - diagnostic imaging
Pneumocephalus - etiology
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - etiology
Tomography, X-Ray Computed
Veins & arteries
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Summary:Pneumocephaly occurring after epidural block is usually caused by either dural puncture or loss of resistance technique using air. [...]CSF can be immediately seen, when dural puncture is achieved [20]. Postdural puncture headache (PDPH) is the most common complication following epidural or spinal procedure. Because most physicians now use fine spinal needles, these headaches have become less common. [...]it should be taken into account that subarachnoid hemorrhage and pneumocephaly may develop following epidural anesthesia, even rarely.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2014.01.029