Anesth Pain Med.  2013 Jan;8(1):55-58.

Intracerebral hemorrhage after inadvertent dural puncture and cesarean section under general anesthesia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, CHA Gangnam Medical Center, CHA University, Seoul, Korea. smilesue82@naver.com
  • 2Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Abstract

Epidural analgesia is frequently used for control of labor pain. Seizure of parturient could be misdiagnosed as eclampsia. A parturient presented a generalized tonic clonic seizure during first stage of labor in two and a half hour after dural puncture and epidural blood patch. She had received an emergency cesarean section under general anesthesia and had another seizure during transfer to the intensive care unit. A brain computed tomography showed intracerebral hemorrhage and pneumocephalus. After conservative treatment, she could discharge without any sequelae in 13 days. The anesthesiologists should be aware of the possibility of intracerebral hemorrhage when they confront a seizure of parturient although there is no evidence of relation between dural puncture and intracerebral hemorrhage.

Keyword

Dural puncture; Epidural analgesia; Intracerebral hemorrhage; Pneumocephalus

MeSH Terms

Analgesia, Epidural
Anesthesia, General
Blood Patch, Epidural
Brain
Cerebral Hemorrhage
Cesarean Section
Eclampsia
Emergencies
Female
Intensive Care Units
Labor Pain
Pneumocephalus
Pregnancy
Punctures
Seizures
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