Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch.

Abstract:

:Puerperal women are reported to have a rate of cerebral infarction 13 times greater than non-pregnant females. We report a case of cerebral ischaemia in a 30-yr-old healthy parturient after epidural analgesia for labour, complicated by dural puncture treated with two epidural blood patches. Investigations showed the development of cerebral ischaemia on postpartum day 14. A transcranial Doppler ultrasonography showed vasospasm of the left middle cerebral artery still present at 3-month follow-up. At 1-yr follow-up, the patient had homonymous hemianopsia. We discuss the possible causative mechanism of the cerebral ischaemia in relation to the dural puncture and epidural blood patch.

journal_name

Br J Anaesth

authors

Mercieri M,Mercieri A,Paolini S,Arcioni R,Lupoi D,Passarelli F,Pinto G,Celleno D

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

98-100

issue

1

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)36968-4

journal_volume

90

pub_type

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