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

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

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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