Spina bifida occulta and epidural anaesthesia

Spina bifida occulta occurs in 5-10% of the population, not all of whom display superficial signs. Attempted epidural puncture at the level of the lesion will almost certainly result in a dural tap. We report a patient who developed a postural headache after Caesarean section under epidural anaesthe...

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Bibliographic Details
Published inAnaesthesia Vol. 43; no. 10; p. 867
Main Authors McGrady, E M, Davis, A G
Format Journal Article
LanguageEnglish
Published England 01.10.1988
Subjects
Adult
Anesthesia, Epidural - adverse effects
Anesthesia, Obstetrical - adverse effects
Cesarean Section
Dura Mater - injuries
Female
Headache - etiology
Humans
Pregnancy
Spina Bifida Occulta - complications
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Summary:Spina bifida occulta occurs in 5-10% of the population, not all of whom display superficial signs. Attempted epidural puncture at the level of the lesion will almost certainly result in a dural tap. We report a patient who developed a postural headache after Caesarean section under epidural anaesthesia, in whom radiography of the spine later demonstrated spina bifida occulta. This problem has not been described previously, although it is unlikely to be an isolated case.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1988.tb05602.x