| Unrecognized dural puncture during epidural analgesia in obstetrics later confirmed by brain imaging. | |
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MedLine Citation:
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PMID: 20619594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Accidental dural puncture is a well-recognized complication of obstetric epidurals that can potentially incapacitate the patient. Unrecognized dural puncture during epidural administration can lead to a delay in therapeutic intervention resulting in potentially serious complications. We report a case of a parturient who developed disabling intracranial hypotension and diplopia following accidental dural puncture during apparently uneventful epidural catheter insertion. Magnetic resonance neuroimaging was performed to confirm the diagnosis, and direct clinical management. We also discuss the role of neuroimaging in the investigation of postpartum headache. |
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Authors:
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G Corbonnois; T O'Neill; A Brabis-Henner; E Schmitt; I Hubert; H Bouaziz |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-07-08 |
Journal Detail:
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Title: Annales françaises d'anesthèsie et de rèanimation Volume: 29 ISSN: 1769-6623 ISO Abbreviation: Ann Fr Anesth Reanim Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-08-13 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8213275 Medline TA: Ann Fr Anesth Reanim Country: France |
Other Details:
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Languages: eng Pagination: 584-8 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Service d'anesthésie-réanimation chirurgicale, hôpital Central, CHU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abducens Nerve Diseases
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etiology Adult Analgesia, Epidural / adverse effects* Analgesia, Obstetrical / adverse effects* Blood Patch, Epidural Brain / pathology Diplopia / etiology Dura Mater / injuries*, pathology Female Humans Intracranial Hypotension / etiology Magnetic Resonance Imaging Post-Dural Puncture Headache / therapy Pregnancy |
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