Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch

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

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Puerperal women are reported to have a rate of cerebral infarction 13 times greater than nonpregnant 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.

Original languageEnglish
Pages (from-to)98-100
Number of pages3
JournalBritish Journal of Anaesthesia
Volume90
Issue number1
DOIs
Publication statusPublished - Jan 1 2003

Fingerprint

Epidural Blood Patch
Brain Ischemia
Punctures
Postpartum Period
Doppler Transcranial Ultrasonography
Hemianopsia
Epidural Analgesia
Cerebral Infarction
Middle Cerebral Artery
Parturition

Keywords

  • Analgesia, obstetric
  • Brain, cerebral ischaemia
  • Complications, dural puncture

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Mercieri, M., Mercieri, A., Paolini, S., Arcioni, R., Lupoi, D., Passarelli, F., ... Celleno, D. (2003). Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch. British Journal of Anaesthesia, 90(1), 98-100. https://doi.org/10.1093/bja/90.1.98

Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch. / Mercieri, M.; Mercieri, A.; Paolini, S.; Arcioni, R.; Lupoi, D.; Passarelli, F.; Pinto, G.; Celleno, D.

In: British Journal of Anaesthesia, Vol. 90, No. 1, 01.01.2003, p. 98-100.

Research output: Contribution to journalArticle

Mercieri, M, Mercieri, A, Paolini, S, Arcioni, R, Lupoi, D, Passarelli, F, Pinto, G & Celleno, D 2003, 'Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch', British Journal of Anaesthesia, vol. 90, no. 1, pp. 98-100. https://doi.org/10.1093/bja/90.1.98
Mercieri, M. ; Mercieri, A. ; Paolini, S. ; Arcioni, R. ; Lupoi, D. ; Passarelli, F. ; Pinto, G. ; Celleno, D. / Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch. In: British Journal of Anaesthesia. 2003 ; Vol. 90, No. 1. pp. 98-100.
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