Acute onset headache complicating labor epidural caused by intrapartum pneumocephalus

Loren Smarkusky, Helena DeCarvalho, Ady Bermudez, Víctor Hugo González-Quintero

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND: Epidural placement for obstetric anesthesia is a common procedure. Pneumocephalus, the introduction of air into the cranial cavity after epidural placement, is a rare complication encountered when air is used for identification of the epidural space. CASE: A 42-year-old primipara undergoing epidural placement reported sudden onset of severe headache with associated neurologic symptoms and nuchal rigidity. Emergent CT scan revealed pneumocephalus. With conservative management, her symptoms resolved with interval resumption of the air collection evidenced on interval CT. CONCLUSION: Acute onset headache after epidural placement can present with impressive neurologic signs and symptoms. Prompt identification of the cause of this pathology is of vital importance to delineate pneumocephalus from potentially treatable or life-threatening disorders.

Original languageEnglish (US)
Pages (from-to)795-798
Number of pages4
JournalObstetrics and Gynecology
Volume108
Issue number3 II
DOIs
StatePublished - Sep 2006
Externally publishedYes

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Pneumocephalus
Headache
Air
Neurologic Manifestations
Muscle Rigidity
Obstetrical Anesthesia
Epidural Space
Pathology

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Acute onset headache complicating labor epidural caused by intrapartum pneumocephalus. / Smarkusky, Loren; DeCarvalho, Helena; Bermudez, Ady; González-Quintero, Víctor Hugo.

In: Obstetrics and Gynecology, Vol. 108, No. 3 II, 09.2006, p. 795-798.

Research output: Contribution to journalArticle

Smarkusky, L, DeCarvalho, H, Bermudez, A & González-Quintero, VH 2006, 'Acute onset headache complicating labor epidural caused by intrapartum pneumocephalus', Obstetrics and Gynecology, vol. 108, no. 3 II, pp. 795-798. https://doi.org/10.1097/01.AOG.0000209185.54752.48
Smarkusky, Loren ; DeCarvalho, Helena ; Bermudez, Ady ; González-Quintero, Víctor Hugo. / Acute onset headache complicating labor epidural caused by intrapartum pneumocephalus. In: Obstetrics and Gynecology. 2006 ; Vol. 108, No. 3 II. pp. 795-798.
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