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.

A case of postpartum cerebral ischemia following accidental dural puncture and epidural blood patch / Mercieri, Marco; Mercieri, A; Paolini, S; Arcioni, Roberto; Lupoi, D; Passarelli, F; Pinto, Giovanni; Celleno, D.. - In: BRITISH JOURNAL OF ANAESTHESIA. - ISSN 0007-0912. - 90:1(2003), pp. 98-100. [10.1093/bja/aeg021]

A case of postpartum cerebral ischemia following accidental dural puncture and epidural blood patch

MERCIERI, MARCO;PAOLINI S;ARCIONI, Roberto;PINTO, Giovanni;
2003

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.
2003
analgesia; obstetric; brain; cerebral ischaemia; complications; dural puncture
01 Pubblicazione su rivista::01a Articolo in rivista
A case of postpartum cerebral ischemia following accidental dural puncture and epidural blood patch / Mercieri, Marco; Mercieri, A; Paolini, S; Arcioni, Roberto; Lupoi, D; Passarelli, F; Pinto, Giovanni; Celleno, D.. - In: BRITISH JOURNAL OF ANAESTHESIA. - ISSN 0007-0912. - 90:1(2003), pp. 98-100. [10.1093/bja/aeg021]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/130244
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